Robin Jay Edwards, CST/CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

F01120 Issued in OR

Practice address

82090 Bear Creek Rd
Creswell, OR 97426

Phone

(541) 895-5176

NPI assigned

Aug 20, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1750538864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82090 BEAR CREEK RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269486",
            "telephone_number": "541-895-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82090 BEAR CREEK RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "97426",
            "telephone_number": "541-895-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROBIN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "CST/CFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "OR",
            "license": "F01120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Delu
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• Emerald Valley RX, LLC
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• Emerald Wellness, P.C. (Emerald Valley Wellness Clinic)
• Eyeland Family Optical LLC

• Surgical Assistant in Creswell, OR
• Providers in Creswell, OR by specialty
• Surgical Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.