DR. JOHN RANDALL EDWARDS (NPI# 1487692794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487692794 |
Entity Type | Individual |
Full Name | DR. JOHN RANDALL EDWARDS |
Credential | MD |
Practice Address |
8111 S Emerson Ave Ste 207 Indianapolis IN 46237-8601 |
Practice Telephone | 3175285500 |
Practice Fax Number | 3175286316 |
Mailing Telephone | 3175285500 |
Mailing Fax Number | 3175286316 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2014-02-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
01072415A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | 31512 | 01 |
FL | 250625400 | 05 | |
RAILROAD MEDICARE | 370020210 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861817959 | John Mark Edwards | Counselor | 4445 Jay St Apt 202, Wheat Ridge, CO 80033-3795 | 2014-02-26 |
1740451970 | John Joseph Edwards | Psychologist | 215 Beech Tree Holw, Sugar Hill, GA 30518-8005 | 2008-03-15 |
1023131372 | John O Edwards | Counselor | 205 Powell Pl, Brentwood, TN 37027-7522 | 2007-04-09 |
1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
1093842833 | John W. Edwards | Chiropractor | 3105 Alcoa Hwy Ste H, Knoxville, TN 37920-4783 | 2007-02-28 |
1922188911 | John Odis Edwards Jr. | Physical Therapist | 1300 Corporation Pkwy, Raleigh, NC 27610-0132 | 2006-10-16 |
1699788075 | John David Edwards | Pharmacist | 2448 Us Highway 60 E, Henderson, KY 42420-2509 | 2006-08-15 |
1336158294 | John D Edwards | Otolaryngology | 22999 Highway 59 N Ste 400, Kingwood, TX 77339-4441 | 2006-08-07 |
1649299199 | John Edwards | Physical Medicine & Rehabilitation | 215 N. Fresno St., 370, Fresno, CA 93701 | 2006-07-18 |
1821059940 | John D Edwards | Optometrist | 101 N Randall Ave, Elk City, OK 73644-5231 | 2006-03-29 |
Street Address |
8111 S EMERSON AVE STE 207 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46237-8601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
Find all providers in zip 46237 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
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 |
---|---|---|---|---|
1881983625 | Jacquelyn Leigh Carter | Pediatrics | 705 Riley Hospital Dr Rm 4340, Indianapolis, IN 46202-5109 | 2011-04-01 |
1124021829 | Bassem I Razzouk | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2005-05-27 |
1275950438 | Jennifer Belsky | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2014-03-26 |
1942542253 | April Rahrig | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2013-03-25 |
1316205891 | Alex Herbert Lion | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202 | 2012-05-02 |
1396003273 | Daniel Vincent Runco | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-27 |
1730447038 | Cristiana Hentea | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2012-04-25 |
1891052171 | Miriam Grace Kim | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-11 |
1205192408 | Rachael Rae Schulte | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2012-04-02 |
1750651253 | Kristy L Pilbeam | Pediatrics | 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 | 2011-12-31 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46237 |
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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.