DARRELL DEWAIN EDWARDS


Address: 4350 S National Ave Ste C200, Springfield, MO 65810-2782
Phone: 4174471000

DARRELL DEWAIN EDWARDS (NPI# 1447759592) 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) 1447759592
Entity Type Individual
Full Name DARRELL DEWAIN EDWARDS
Practice Address 4350 S National Ave Ste C200
Springfield
MO 65810-2782
Practice Telephone 4174471000
Practice Fax Number 4174476150
Mailing Telephone 4174471000
Mailing Fax Number 4174476150
Enumeration Date 2018-02-05
Last Update Date 2018-02-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2018002812 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers DARRELL EDWARDS

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1598974339 Darrell Rick Edwards Dentist 2345 Sw 320th St, Federal Way, WA 98023-2568 2007-05-21
1245318005 Darrell L. Edwards Obstetrics & Gynecology 27400 Hesperian Blvd, Hayward, CA 94545-4235 2006-11-01

Office Location

Street Address 4350 S NATIONAL AVE STE C200
City SPRINGFIELD
State MO
Zip Code 65810-2782

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508373838 Sunterra Springfield Oc, LLC Skilled Nursing Facility 4935 S National Ave, Springfield, MO 65810 2018-01-09
1982119392 Boyoung Park Specialist/Technologist 4355 S National Ave Apt 905, Springfield, MO 65810 2017-12-07
1578086310 Missouri Telerad LLC Radiology 5117 South Neffleton Avenue, Springfiled, MO 65810 2017-07-24
1245597285 Intrepid of Missouri, Inc. Hospice Care, Community Based 4305 S. National Ave., Springfield, MO 65810 2012-04-16
1700199668 Telerad of Mo Account Management, LLC Radiology 5117 S. Neffleton Ave, Springfield, MO 65810 2010-07-21
1427286251 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 745 W El Camino Alto Drive, Springfield (s), MO 65810 2009-07-01
1033344304 Teresa Mary Kaelin Occupational Therapist 3291 W. Ridge Run, Springfield, MO 65810 2009-05-15
1538366448 Rani K Nair Internal Medicine 3231 S National Mercy Endocrineology, Ste 440, Springfield, MO 65810 2007-07-03
1467672519 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 4955 S. National Ave., Unit A, Springfield, MO 65810 2007-04-30
1336161983 Leo Allan Tokarczyk Dentist 4777 S National Ave, Springfield, MO 65810 2006-07-24
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972123289 Jared Anthony Dias Physician Assistant 52 Devens St, Springfield, MA 01151-2304 2020-04-16
1659990976 Maham Siddiqui Physician Assistant 8632 Hillside Manor Dr, Springfield, VA 22152-2238 2020-04-16
1558994772 Kayla Rice Physician Assistant 3640 Main St Ste 103, Springfield, MA 01107-1139 2020-02-17
1487286563 Michayla Marcil Physician Assistant 280 Chestnut St Fl 2, Springfield, MA 01199-1001 2020-02-06
1508416140 Chase Michael Collings Physician Assistant 960 N 16th St Ste 303, Springfield, OR 97477 2019-09-16
1023670593 Michael Peter Lembotesis Physician Assistant 629 Evans Rd, Springfield, PA 19064-3033 2019-07-03
1245795558 Alexandra Marie Cutler Physician Assistant 1437 S Gelven Ave, Springfield, MO 65804-2124 2019-01-31
1598265894 Kelsey L. Magill Physician Assistant 3231 S National Ave Ste 440, Springfield, MO 65807-7304 2018-02-14
1164930087 Ashley Jean Nichole Leutze Physician Assistant 1164 E Home Rd Ste J, Springfield, OH 45503-2726 2018-01-12
1508385618 Demetrios Sotiropoulos Physician Assistant 175 Carew St Ste 250, Springfield, MA 01104 2017-09-11
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Competitor

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City SPRINGFIELD
Zip Code 65810

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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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