Organization Active NPI

Ted L Edwards Jr MD PA

  • Gastroenterology Physician
  • West Lake Hills, TX
National Provider Identifier
1811217367
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C8269 Issued in TX
Legal business name
TED L EDWARDS JR MD PA
Practice address
4201 Bee Caves Rd
West Lake Hills, TX 78746-6465
Phone
(512) 327-4886
Fax
(512) 327-4958
NPI assigned
Jun 7, 2010
Organization subpart
Yes
Parent organization
TED L EDWARDS JR MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Ted L Edwards Jr., MD
Title
Owner
Phone
(512) 327-4886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X C8269 TX Primary

Addresses

Primary practice location

4201 Bee Caves Rd
West Lake Hills, TX 78746-6465

Mailing address

4201 Bee Caves Rd
West Lake Hills, TX 78746-6465
Phone (512) 327-4886

Other identifiers 1

IdentifierTypeStateIssuer
TXB103937OtherTXMEDICARE PTAN

Other names 1

  • The Hills Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Ted L Edwards MD

Locations

4201 Bee Caves Rd
West Lake Hills, TX 78746
Phone (512) 329-6611

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1811217367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-327-4886",
            "fax_number": "512-327-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-327-4886",
            "fax_number": "512-327-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED L EDWARDS JR MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TED L EDWARDS JR MD PA",
        "enumeration_date": "2010-06-07",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-327-4886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "C8269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB103937",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hills Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.