Organization Active NPI

Elizabeth H. Edmunds, M.D. & Associates., PC

  • Primary Care Clinic/Center
  • Reading, PA
National Provider Identifier
1831343953
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD037251L Issued in PA
Legal business name
ELIZABETH H. EDMUNDS, M.D. & ASSOCIATES., PC
Practice address
514 Carsonia Ave
Reading, PA 19606-1521
Phone
(610) 779-8822
Fax
(610) 779-7751
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. Elizabeth Helena Edmunds, MD
Title
Physician - Owner
Phone
(610) 779-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD037251L PA Primary

Addresses

Primary practice location

514 Carsonia Ave
Reading, PA 19606-1521

Mailing address

514 Carsonia Ave
Reading, PA 19606-1521
Phone (610) 779-8822

Other identifiers 5

IdentifierTypeStateIssuer
02334700OtherPACAPITOL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
18394OtherPAGEISINGER
000474932OtherPAHIGHMARK BLUE SHIELD
306261OtherPAHEALTH AMERICA/ASSURANCE
8111293OtherPACIGNA

National Provider Directory

National Provider Directory

Locations

514 Carsonia Ave
Reading, PA 19606
Phone (610) 779-8822

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": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1831343953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CARSONIA AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196061521",
            "telephone_number": "610-779-8822",
            "fax_number": "610-779-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CARSONIA AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196061521",
            "telephone_number": "610-779-8822",
            "fax_number": "610-779-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH H. EDMUNDS, M.D. & ASSOCIATES., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "HELENA",
        "authorized_official_title_or_position": "PHYSICIAN - OWNER",
        "authorized_official_telephone_number": "610-779-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD037251L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "02334700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "18394",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000474932",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ASSURANCE",
            "identifier": "306261",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8111293",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.