ELLEN I EDGAR


Address: 26 Diplomat Pkwy, Ste Cu-3, Hallandale Beach, FL 33009-3721
Phone: 7187907530

ELLEN I EDGAR (NPI# 1326343625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326343625
Entity Type Individual
Full Name ELLEN I EDGAR
Credential M.D.
Practice Address 26 Diplomat Pkwy
Ste Cu-3
Hallandale Beach
FL 33009-3721
Mailing Address 1311 Brightwater Ave
Apt 18ij
Brooklyn
NY 11235-5962
Practice Telephone 7187907530
Mailing Telephone 7187907530
Enumeration Date 2011-01-18
Last Update Date 2017-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
259540 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 26 DIPLOMAT PKWY
STE CU-3
City HALLANDALE BEACH
State FL
Zip Code 33009-3721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215462536 Complete Neurological Care of Florida Psychiatry & Neurology 26 Diplomat Pkwy, Suite Cu-3, Hallandale Beach, FL 33009-3721 2017-04-24

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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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NPI Name Taxonomy Address Enumeration
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Competitor

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City HALLANDALE BEACH
Zip Code 33009

Improve Information

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Dataset Information

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.

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