JEFFREY S EDWARDS (NPI# 1013915958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013915958 |
| Entity Type | Individual |
| Full Name | JEFFREY S EDWARDS |
| Credential | MD |
| Practice Address |
1305 6th St Peru IL 61354-2759 |
| Mailing Address |
920 West St Bldg B Peru IL 61354-2763 |
| Practice Telephone | 8157805029 |
| Practice Fax Number | 8157804634 |
| Mailing Telephone | 8152232944 |
| Mailing Fax Number | 8152234095 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036.133706 | IL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4301046434 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD MI | JE046434 | 01 |
| MN | BCBS | 134K2ED | 01 |
| PREFERREDONE | 1018463 | 01 | |
| WI | 31563400 | 05 | |
| IL | STATE OF IL LICENSE | 036.113706 | 01 |
| MI | 3519335 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699214221 | Jeffrey Edwards | Massage Therapist | 908 New Hampshire Ave Nw Ste 200, Washington, DC 20037-2334 | 2017-02-15 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| 1952535254 | Jeffrey David Edwards | Pediatrics | 772 8th Ave # 2, San Francisco, CA 94118-3704 | 2009-05-14 |
| 1023284528 | Jeffrey David Edwards | Physical Therapist | 514 N 85th St, Real Rehab Physical Therapy, Seattle, WA 98103-3721 | 2008-05-05 |
| 1376731000 | Jeffrey A Edwards | Counselor | 926 15th Ave, East Moline, IL 61244-2138 | 2007-10-09 |
| 1578566253 | Jeffrey Karl Edwards | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2005-05-24 |
| 1295211381 | Jeffrey W Edwards | Physician Assistant | 945 N 12th St, Milwaukee, WI 53233-1305 | 2018-07-12 |
| 1881135002 | Jeffrey Richard Edwards | Speech-Language Pathologist | 900 Blake Wilbur Dr, 3rd Floor, Palo Alto, CA 94304-2201 | 2017-03-20 |
| 1376091215 | Jeffrey Lynn Edwards Jr. | Physical Therapist | 622 W Poplar Ave, Suite 5, Collierville, TN 38017-6503 | 2016-09-20 |
| 1871988972 | Jeffrey Bryant Edwards | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 | 2015-04-06 |
| Street Address |
1305 6TH ST |
| City | PERU |
| State | IL |
| Zip Code | 61354-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386005395 | Illinois Valley Community Hospital | Clinic/Center | 1305 6th St, Peru, IL 61354-2759 | 2016-03-18 |
| 1306207311 | Illinois Valley Community Hospital | Clinic/Center | 1305 6th St, Peru, IL 61354-2759 | 2016-03-18 |
| 1578929816 | Illinois Valley Community Hospital | Clinic/Center | 1305 6th St, Peru, IL 61354-2759 | 2015-12-31 |
| 1306273685 | Heather Lynn Miller | Advanced Practice Midwife | 1305 6th St, Peru, IL 61354-2759 | 2013-10-02 |
| 1932440625 | Illinois Valley Community Hospital | Clinic/Center | 1305 6th St, Peru, IL 61354-2759 | 2013-03-06 |
| 1467428466 | Illinois Valley Community Hospital | Hospice Care, Community Based | 1305 6th St, Peru, IL 61354-2759 | 2006-02-28 |
| 1518933738 | Illinois Valley Community Hospital | Home Health | 1305 6th St, Peru, IL 61354-2759 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043376429 | June Hazel Pollydore | Obstetrics & Gynecology | 285 W 12th St Ste 205, Peru, IN 46970-1654 | 2006-12-29 |
| 1740374909 | Donna J. Sweetland | Obstetrics & Gynecology | 1436 Midtown Rd, Peru, IL 61354 | 2006-10-03 |
| 1417911900 | Robert S Kinsella | Obstetrics & Gynecology | 1631 4th St, Peru, IL 61354-3507 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.