SAM BIGHAM EDWARDS (NPI# 1215977426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215977426 |
| Entity Type | Individual |
| Full Name | SAM BIGHAM EDWARDS |
| Credential | MD |
| Practice Address |
16281 Bass Rd Suite 301 Fort Myers FL 33908-3616 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393437490 |
| Practice Fax Number | 2399853513 |
| Mailing Telephone | 2394241400 |
| Mailing Fax Number | 2394241421 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
ME0055852 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERIGROUP | 202911 | 01 |
| FL | 062332600 | 05 | |
| FL | CIGNA | 1518769002 | 01 |
| FL | AETNA PPO | 4224457 | 01 |
| FL | AETNA HMO | 0624603 | 01 |
| FL | BCBS | 09666 | 01 |
| FL | WELLCARE STAYWELL | 15749 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255530754 | Sam J Edwards Jr. | Technician/Technologist | 1078 Crossroads Mall Ste D, Oklahoma City, OK 73149-4202 | 2007-07-13 |
| 1215010517 | Sam Edwards Jr. | Social Worker | 1721 Scott St, Suite, #c, San Francisco, CA 94115-3035 | 2006-10-23 |
| Street Address |
16281 BASS RD SUITE 301 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689804148 | Daniel Eric Eason | Pediatrics | 16281 Bass Rd, Suite 301, Fort Myers, FL 33908 | 2009-07-19 |
| 1922534338 | Francesca Passalacqua | Clinical Nurse Specialist | 16281 Bass Rd, Suite 304, Fort Myers, FL 33908-9687 | 2017-05-04 |
| 1124348107 | Suying Lam Barriga | Pediatrics | 16281 Bass Rd, Suite 304, Fort Myers, FL 33908-9687 | 2010-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710082821 | Michael Lacorte | Pediatrics | 16281 Bass Rd Ste 304, Fort Myers, FL 33908-9687 | 2006-09-13 |
| 1699739094 | Carl Reed | Pediatrics | 7970 Summerlin Lakes Dr Ste 100, Fort Myers, FL 33907-1855 | 2006-04-13 |
| 1386842706 | Bryan J Funari | Pediatrics | 16281 Bass Rd Ste 304, Fort Myers, FL 33908-9687 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503442 | Gerold Ludwig Schiebler | Pediatrics | 408 Beachside Pl, Amelia Island, FL 32034-6551 | 2019-02-02 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1124446182 | Kinjal Parikh | Pediatrics | 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 | 2014-04-06 |
| 1154694016 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 | 2012-02-22 |
| 1932477023 | Samir M. Ebeid | Pediatrics | 2202 State Ave Ste 302, Panama City, FL 32405 | 2011-12-05 |
| 1083927537 | Mch Pediatric Cardiology, LLC | Pediatrics | 12989 Southern Boulevard Palms West, Mob IIi Suite 203, Loxahatchee, FL 33470 | 2010-07-26 |
| 1407023310 | Salvatore Joseph Buonaiuto | Pediatrics | 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 | 2008-05-09 |
| 1801060652 | Sumbal Sattar | Pediatrics | 512 W Cherry St Ste D, Kissimmee, FL 34741-4114 | 2008-04-14 |
| 1871613620 | Carlo M Zeidenweber | Pediatrics | 9980 Central Park Blvd N Ste 318, Boca Raton, FL 33428-1704 | 2007-03-29 |
| 1295874113 | Ramon Rodriguez-torres | Pediatrics | 13911 Sw 103rd Ave, Miami, FL 33176-6614 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.