Gloria Mascari Edwards, LPN

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

58801 Issued in OH

Practice address

125 Campbell Rd
Harrison, OH 45030-1402

Phone

(800) 616-3718

NPI assigned

Apr 25, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carestar

  • Preferred Provider Organization
  • Seven Mile, OH
  • NPI 1891837613
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952520090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CAMPBELL RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450301402",
            "telephone_number": "513-367-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CAMPBELL RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450301402",
            "telephone_number": "800-616-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GLORIA",
        "middle_name": "MASCARI",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "58801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2288957",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS Ronald Cooke & George Landon Optometrists LLC
• Rebecca Marie Duncan
• Audrey Duran
• Jennifer Durie, OTR
• Katherine Mariana Edwards-Baumbach
• Michelle Ann Edwards, RN
• Lynne Kathryn Eicher, RN
• Jan Enderle-Binford, STNA
• Phillip Ernst, PA-C
• Christiane Ewell

• Preferred Provider Organization in Harrison, OH
• Providers in Harrison, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.