Organization Active NPI

Edge Spine & Joint Medical Center

  • Physical Medicine & Rehabilitation Physician
  • Greensburg, PA
National Provider Identifier
1912345331
Registry record updated Apr 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EDGE SPINE & JOINT MEDICAL CENTER
Practice address
1075 S Main St
Suite 102
Greensburg, PA 15601
Phone
(724) 837-2112
Fax
(724) 691-0864
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2023

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

Authorized official

Name
Carl Curtis Edge, D.C.
Title
Owner
Phone
(724) 837-2112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X SP011376 PA

Addresses

Primary practice location

1075 S Main St
Suite 102
Greensburg, PA 15601

Mailing address

1075 S Main St
Suite 102
Greensburg, PA 15601-4870
Phone (724) 837-2112

National Provider Directory

National Provider Directory

Locations

1075 S Main St
Ste 102
Greensburg, PA 15601
Phone (724) 837-2112

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680998400000",
    "number": "1912345331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S MAIN ST",
            "address_2": "SUITE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014870",
            "telephone_number": "724-837-2112",
            "fax_number": "724-691-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S MAIN ST",
            "address_2": "SUITE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-837-2112",
            "fax_number": "724-691-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE SPINE & JOINT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-837-2112",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.