DR. EDWARD LUIS RODRIGUEZ (NPI# 1477579266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477579266 |
| Entity Type | Individual |
| Full Name | DR. EDWARD LUIS RODRIGUEZ |
| Credential | M.D. |
| Practice Address |
3500 N Elm Ave Opmh Jackson MI 49201-8887 |
| Practice Telephone | 5177805254 |
| Mailing Telephone | 5177805254 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301070959 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548894520 | Edward Rodriguez | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-02-27 |
| 1750846127 | Edward Rodriguez | Behavior Technician | 1100 S Main St # 8, Las Cruces, NM 88005-2917 | 2019-02-09 |
| 1336519461 | Edward Rodriguez | Counselor | 2436 Wabash Ave, Los Angeles, CA 90033-2510 | 2015-10-01 |
| 1841532355 | Edward Rodriguez | Pharmacist | 4937 Nw 106th Ave, Coral Springs, FL 33076-2709 | 2013-03-22 |
| 1609117084 | Edward Rodriguez | Counselor | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2013-03-08 |
| 1720338189 | Edward Rodriguez | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2012-09-13 |
| 1003043761 | Edward Sean Rodriguez | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2009-06-19 |
| 1477751451 | Edward Rodriguez | Social Worker | 411 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-07-11 |
| 1659595627 | Edward K Rodriguez | Physical Therapist | 1 Corbett Way, Eatontown, NJ 07724-2264 | 2007-04-12 |
| 1073522116 | Edward K Rodriguez | Orthopaedic Surgery | 75 Francis St, Boston, MA 02115-6110 | 2006-08-07 |
| Street Address |
3500 N ELM AVE OPMH |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801266291 | Katherine Garduno-klynstra | Nurse Practitioner | 3500 N Elm Ave, Jackson, MI 49201-8887 | 2015-09-29 |
| 1952706236 | Tonya Lake | Nurse Practitioner | 3500 N Elm Ave, Jackson, MI 49201-8887 | 2014-10-29 |
| 1972828028 | Charles Jamsen | Internal Medicine | 3500 N Elm Ave, Jackson, MI 49201-8887 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871932194 | Saurabh Bipin Bhardwaj | Psychiatry & Neurology | 2500 N State St # H814, Jackson, MS 39216-4500 | 2013-06-19 |
| 1548421795 | Edgar Draper | Psychiatry & Neurology | 2419 Lake Circle, Jackson, MS 39211 | 2008-06-20 |
| 1689854523 | Robert J Brock Md PC | Psychiatry & Neurology | 480 S Cache, Jackson, WY 83001-0941 | 2007-11-08 |
| 1821285610 | Michaela Puno Weller | Psychiatry & Neurology | 3855 Cooper St, Charles Egeler Reception & Guidance Center, Jackson, MI 49201-7547 | 2007-09-26 |
| 1285846774 | Debra E Rodgers Md Pa | Psychiatry & Neurology | 175 Olympia Flds, Jackson, MS 39211-2510 | 2007-05-04 |
| 1497808463 | Virginia J Payne | Psychiatry & Neurology | 1675 Lakeland Dr Ste 200, Jackson, MS 39216-4843 | 2007-01-20 |
| 1952453854 | Marcelita A Bermudez | Psychiatry & Neurology | 4502 Hwy 951, Jackson, LA 70748 | 2007-01-18 |
| 1225180938 | Joe C Scoggin Sr. | Psychiatry & Neurology | 1675 Lakeland Drive, 200 Riverhill Tower, Jackson, MS 39216-4852 | 2007-01-16 |
| 1649352337 | Michael E Stept | Psychiatry & Neurology | 1675 Lakeland Dr, Ste 200, Jackson, MS 39216-4843 | 2006-10-20 |
| 1881702710 | Andrew Charles Bishop | Psychiatry & Neurology | 971 Lakeland Dr Ste 654, Jackson, MS 39216-4605 | 2006-08-29 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on DR. EDWARD LUIS RODRIGUEZ.
| 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.