Organization Active NPI

Edison Brain & Spine Surgeons, PLLC

  • Neurological Surgery Physician
  • Jonesboro, AR
National Provider Identifier
1871035352
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
EDISON BRAIN & SPINE SURGEONS, PLLC
Practice address
3880 Plantation Estates Dr
Jonesboro, AR 72404-6891
Phone
(218) 349-6713
NPI assigned
Nov 15, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Dr. Edison McDaniels, M.D.
Title
Physician/Partner
Phone
(218) 349-6713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

3880 Plantation Estates Dr
Jonesboro, AR 72404-6891

Mailing address

3880 Plantation Estates Dr
Jonesboro, AR 72404-6891
Phone (218) 349-6713

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1871035352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 PLANTATION ESTATES DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046891",
            "telephone_number": "218-349-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 PLANTATION ESTATES DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046891",
            "telephone_number": "218-349-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON BRAIN & SPINE SURGEONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "MCDANIELS",
        "authorized_official_first_name": "EDISON",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "218-349-6713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.