Edna Marie Jean

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

36.002601 Issued in OH

Legal business name

EDNA MARIE JEAN

Practice address

1857 N Reynolds Rd
Toledo, OH 43615-3537

Phone

(419) 537-9877

NPI assigned

Dec 22, 2008

Last updated

Jan 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edna Marie Jean, DPMNPI 1043208788

Title

Podiatrist

Phone

(419) 537-9877

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Edna Marie Jean

  • Podiatrist
  • Toledo, OH
  • NPI 1043208788

  O20100930042911

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edna Marie Jean

  • Podiatrist
  • Toledo, OH
  • NPI 1043208788
  Authorized official Same address or phone

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1922244953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153537",
            "telephone_number": "419-537-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153537",
            "telephone_number": "419-537-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA MARIE JEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "419-537-9877",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36.002601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Edleston
• Edm Health Services LLC
• Gary Edmond
• Kayleigh Edmonds, RBT
• Sterling Rodgerio Edmonds
• Educational Health Services, LLC
• Educational Health Services, LLC
• Carol Anne Edwards
• Christion J Edwards
• Dewey W Edwards Jr.

• Durable Medical Equipment & Medical Supplies in Toledo, OH
• Providers in Toledo, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.