Individual provider Active NPI

Ted Edwards, D.O.

  • Interventional Pain Medicine Physician
  • Huntsville, AL
National Provider Identifier
1932189560
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
DO-778 Issued in AL
Practice address
2700 Triana Blvd
Huntsville, AL 35805
Phone
(256) 885-9708
Fax
(256) 883-1840
NPI assigned
Jan 19, 2006
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X DO-778 AL Primary
Specialist 174400000X DO-778 AL

Addresses

Primary practice location

2700 Triana Blvd
Huntsville, AL 35805

Mailing address

2700 Triana Blvd
Huntsville, AL 35805
Phone (256) 885-9708

Other identifiers 1

IdentifierTypeStateIssuer
009913555MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100915000558 AL Practitioner - Pain Management 2668597519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Neurological Services LLCGroup PAC ID 9234156027, 4 clinicians

Practice addresses (Care Compare)

2700 Triana Blvd SW
Huntsville, AL 35805-4046
Phone (256) 885-9708

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-778ALMDSpecialist
3507OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation & Neurological Services LLC Specialist CurrentSince Mar 3, 2003 Accepting new patients
Rehabilitation & Neurological Services LLC CurrentSince Mar 1, 2003 Accepting new patients

Locations

2700 Triana Blvd SW
Huntsville, AL 35805
Phone (256) 885-9705

Interoperability endpoints

  • Direct secure messaging: ted.edwards.1@25201.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1932189560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TRIANA BLVD",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35805",
            "telephone_number": "256-885-9708",
            "fax_number": "256-883-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TRIANA BLVD",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35805",
            "telephone_number": "256-885-9708",
            "fax_number": "256-883-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TED",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "DO-778",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "DO-778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913555",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.