DR. KYLE COLLINGWOOD EDWARDS (NPI# 1184970592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184970592 |
Entity Type | Individual |
Full Name | DR. KYLE COLLINGWOOD EDWARDS |
Credential | D.O. |
Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
Practice Telephone | 9287732451 |
Practice Fax Number | 9282142925 |
Mailing Telephone | 9282136235 |
Mailing Fax Number | 9282136292 |
Enumeration Date | 2012-08-03 |
Last Update Date | 2020-06-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 006654 | AZ | Allopathic & Osteopathic Physicians |
Y | 208M00000X | Hospitalist | 006654 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417215351 | Kyle Edwards | Student in an Organized Health Care Education/Training Program | University Hospital 50 Medical Dr, Salt Lake City, UT 84132-0001 | 2012-04-29 |
1619133261 | Kyle Burke Edwards | Optometrist | 7824 Hickory Flat Hwy, Suite 100, Woodstock, GA 30188-6574 | 2008-08-04 |
1336155712 | Kyle Edwards | Optometrist | 1101 Honor Heights Dr, Muskogee Vamc, Muskogee, OK 74401-1302 | 2006-07-31 |
1790260511 | Kyle Edwards | Nurse Practitioner | 1701 S 4th St, Clinton, OK 73601-2309 | 2018-09-27 |
Street Address |
1200 N BEAVER ST |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-3118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
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Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891149043 | Audrey Lee | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001 | 2016-04-13 |
1396004800 | Northern Arizona Healthcare Provider Group, LLC | Hospitalist | 1200 North Beaver Street, Flagstaff, AZ 86001-3118 | 2012-05-04 |
1780987073 | Marian Lacy | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2010-12-08 |
1790959393 | Arizona Independent Medical Associates, Pllc | Hospitalist | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 | 2008-04-15 |
1730358789 | Jack Ce Ji | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-02-25 |
1255518163 | Flagstaff Medical Center | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-01-23 |
1740311612 | Flagstaff Medical Center | Hospitalist | 1200 N. Beaver St., Flagstaff, AZ 86001-3118 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679051171 | Supai LLC | Hospitalist | 13350 N 94th Dr Ste A101, Peoria, AZ 85381-4826 | 2018-08-06 |
1033622626 | Agave Medical Group Pllc | Hospitalist | 1301 S. Crimaon Rd, Mesa, AZ 85209-2737 | 2017-11-06 |
1356853691 | Leading Health Care, Pllc | Hospitalist | 22922 N 40th Pl, Phoenix, AZ 85050-8742 | 2017-10-26 |
1124530647 | Arizona Primary Care Associates LLC | Hospitalist | 130 S 63rd St Ste 120, Mesa, AZ 85206-1604 | 2017-10-25 |
1811421852 | Alex Shen | Hospitalist | 4426 W Oraibi Dr, Glendale, AZ 85308-7320 | 2017-04-17 |
1154860674 | Arizona Acute Medical Services 1 PC | Hospitalist | 5750 E Baseline Rd, Mesa, AZ 85206-4806 | 2017-02-16 |
1942749619 | Bh Hospital Specialists, LLC | Hospitalist | 25437 N Moon Blossum Ln, Phoenix, AZ 85083-1676 | 2017-02-14 |
1851746440 | Jonmark Moorington | Hospitalist | 1919 E Thomas Rd., Phoenix Children's Hospital, Phoenix, AZ 85016 | 2016-05-02 |
1629432190 | Mina Albadri | Hospitalist | 350 W Thomas Rd Ste 900a, Phoenix, AZ 85013-4409 | 2016-04-11 |
1396117933 | Jr Healthcare Consultants LLC | Hospitalist | 807 W Colter St Apt 88, Phoenix, AZ 85013-2296 | 2015-10-22 |
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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.