Individual provider Active NPI

Kimberly Ann Edwards, M.D.

  • Obstetrics & Gynecology Physician
  • Eugene, OR
National Provider Identifier
1922368265
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A126502 Issued in CA
Practice address
10 Coburg Rd
Ste 100
Eugene, OR 97401-7478
Phone
(541) 342-8616
Fax
(541) 686-4814
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A126502 CA Primary

Addresses

Primary practice location

10 Coburg Rd
Ste 100
Eugene, OR 97401-7478

Mailing address

10 Coburg Rd
Ste 100
Eugene, OR 97401-7478
Phone (541) 342-8616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20160713000057 OR Practitioner - Obstetrics/Gynecology 1456643477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care PCGroup PAC ID 8820986458, 38 clinicians

Practice addresses (Care Compare)

10 Coburg Rd
Suite 100
Eugene, OR 97401-7479
Phone (541) 868-9700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126502CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Womens Center LLC Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Womens Care, PC Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Peacehealth Past Accepting new patients

Locations

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

10 Coburg Rd
Ste 100
Eugene, OR 97401
Phone (541) 342-8616

911 Country Club Rd
Ste 222
Eugene, OR 97401
Phone (541) 342-2477

Interoperability endpoints

  • Direct secure messaging: kedwar39@yourcarecommunity.org

Organizations & group practices 3

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1922368265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COBURG RD",
            "address_2": "STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017478",
            "telephone_number": "541-342-8616",
            "fax_number": "541-686-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD",
            "address_2": "STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017478",
            "telephone_number": "541-342-8616",
            "fax_number": "541-686-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A126502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.