Edward B Miedema, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

206 Gamble Dr
Suite C
Lincolnton, NC 28092-4439

Phone

(704) 732-4409

Fax

(704) 735-5784

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lincoln Urology PA

  • Specialist
  • Lincolnton, NC
  • NPI 1831182088
  NPD (past) Authorized official
• Stone Institute of the Carolinas LLC

  • Urology Physician
  • Davidson, NC
  • NPI 1457377954
  NPD (past)
• Big Rapids Urology Center PC

  • Urology Physician
  • Big Rapids, MI
  • NPI 1427128065
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1912908765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GAMBLE DR",
            "address_2": "SUITE C",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924439",
            "telephone_number": "704-732-4409",
            "fax_number": "704-735-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GAMBLE DR",
            "address_2": "SUITE C",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924439",
            "telephone_number": "704-732-4409",
            "fax_number": "704-735-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEDEMA",
        "first_name": "EDWARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135MK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Blair Melton
• David Stephen Meyer, M.D.
• Gabriela Meyer, MD
• Micah D Naylor DMD PA
• Elizabeth Mlaska Middleton, CRNA
• Meagan Miles, OD
• Rebekah Milliron, NP-C
• Kimberly Robin Mills, MD
• Jenna Mincavage, PHARMD
• Amelia Christine Miraglia, OTR/L

• Specialist in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.