Harold Stuart Edmiston, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

34 003987 Issued in OH

Practice address

2320 Beechwood Dr
Germantown, OH 45327-9462

Phone

(937) 895-4092

Fax

(937) 855-6044

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne Hospital Company Professional Services LLCGroup PAC ID 3476695354, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Hospital Hospital, Greenville, OH, CCN 361335

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: harold.edmiston@centerph.eclinicaldirectplus.com
• Direct secure messaging: hedmiston647084@direct.osumc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wayne Hospital Company Professional Services LLC

  • Family Medicine Physician
  • Greenville, OH
  • NPI 1326371675
  Medicare reassignment Care Compare group NPD
• Providence Medical Group

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1972533149
  Medicare reassignment NPD
• Providence Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Moraine, OH
  • NPI 1659726768
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Senior Care Physicians, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Maumee, OH
  • NPI 1508189499
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne Hospital Company

  • Critical Access Hospital
  • Greenville, OH
  • NPI 1184621161
  Care Compare affiliation

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1881728905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BEECHWOOD DR",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453279462",
            "telephone_number": "937-895-4092",
            "fax_number": "937-855-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BEECHWOOD DR",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453279462",
            "telephone_number": "937-895-4092",
            "fax_number": "937-855-6044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Sherman Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452122616",
            "country_code": "US",
            "telephone_number": "513-318-1188",
            "fax_number": "513-318-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 S Main St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "OH",
            "postal_code": "458829228",
            "country_code": "US",
            "telephone_number": "419-363-3008",
            "fax_number": "419-363-2093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 N Breiel Blvd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450423807",
            "country_code": "US",
            "telephone_number": "513-318-1188",
            "fax_number": "513-318-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Conover Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450051900",
            "country_code": "US",
            "telephone_number": "513-318-1188",
            "fax_number": "513-318-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "HAROLD",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "02004237A",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34 003987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hedmiston647084@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "506 S Main St",
            "city": "Rockford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458829228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Harold.Edmiston@centerph.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Talbert House Health Center",
            "address_1": "333 Conover Dr Ste B",
            "city": "Franklin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450051900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cody Cummins
• Bich Hai Dao
• Michael Dickerson, D.M.D.
• Kathleen Dickey, L.D.
• Jason Easter, R.N.
• Friendly Nursing Home, Inc.
• Kathleen Gail Fuchs, FNP-C
• Joei Lee Gehron
• Germantown Family Dental
• Germantown Pharmacy LLC

• Geriatric Medicine (Family Medicine) Physician in Germantown, OH
• Providers in Germantown, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.