R. Dewayne Edwards, D.O., PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR.0058681 Issued in CO

Legal business name

R. DEWAYNE EDWARDS, D.O., PC

Practice address

9351 Grant St Ste 400
Thornton, CO 80229-4375

Phone

(803) 541-1517

NPI assigned

Jun 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Roy Dewayne Edwards, DO

Title

President

Phone

(803) 541-1517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1922538487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CUMBERLAND CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799031912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 400",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294375",
            "telephone_number": "803-541-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. DEWAYNE EDWARDS, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-541-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0058681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Alexis Quintana, D.O
• Tatihana Quinteros, RN
• Christopher Quinton
• Allison Quirin
• April Quitugua
• Kayla Marie Raarup, LCSW
• Jarred Radebaugh
• Radiation Oncology Center of Thornton LLC
• Radiation Therapy Center of Thornton, L.P. (Cancer Care Center of Thornton)
• Justin Raff

• Surgery Physician in Thornton, CO
• Providers in Thornton, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.