Organization Active NPI

Edison Health Care Associates, Inc

  • Primary Care Clinic/Center
  • Southfield, MI
National Provider Identifier
1952545329
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EDISON HEALTH CARE ASSOCIATES, INC
Practice address
20755 Greenfield Rd
Suite 107
Southfield, MI 48075-5403
Phone
(248) 557-3777
Fax
(248) 557-2666
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Raymond Edison, M.D.
Title
President
Phone
(248) 557-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MI Primary

Addresses

Primary practice location

20755 Greenfield Rd
Suite 107
Southfield, MI 48075-5403

Mailing address

20755 Greenfield Rd
Suite 107
Southfield, MI 48075-5403
Phone (248) 557-3777

National Provider Directory

National Provider Directory

Locations

25865 W 12 Mile Rd
Ste 101
Southfield, MI 48034
Phone (248) 557-1753

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1952545329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-557-3777",
            "fax_number": "248-557-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-557-3777",
            "fax_number": "248-557-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON HEALTH CARE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "EDISON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-557-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.