SCOTT MICHAEL EDWARDS (NPI# 1548589930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548589930 |
| Entity Type | Individual |
| Full Name | SCOTT MICHAEL EDWARDS |
| Credential | PA |
| Practice Address |
12900 Cortez Blvd Suite 205 Brooksville FL 34613-6828 |
| Practice Telephone | 3525961117 |
| Mailing Telephone | 3525961117 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2011-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9105274 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114220589 | Scott Brian Edwards | Preventive Medicine | 50680 Pheasant Cove Dr, Granger, IN 46530-7583 | 2010-12-07 |
| 1538170188 | Scott Andrew Edwards | Psychologist | 1216 W Jefferson St, Kokomo, IN 46901-4341 | 2006-08-10 |
| 1124000641 | Scott Andrew Edwards | Radiology | 5529 Pennock Point Rd, Jupiter, FL 33458-3449 | 2005-11-18 |
| 1225579493 | Scott Edwards | Prevention Professional | 1529 Seabright Ave, Santa Cruz, CA 95062-2528 | 2017-03-20 |
| 1023420932 | Scott Edwards | Physical Therapist | 1021 S 178th St, Omaha, NE 68118-3574 | 2014-05-27 |
| 1891091534 | Scott B Edwards | Counselor | 400 Yesler Way, Sound Mental Health, Seattle, WA 98104-3265 | 2011-01-27 |
| 1316279607 | Scott D Edwards | Behavioral Analyst | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2010-02-11 |
| 1225262660 | Scott Lee Edwards | Pharmacist | 801 Dixie Hwy, Rossford, OH 43460-1330 | 2009-05-13 |
| 1376752964 | Scott Edwards | Marriage & Family Therapist | 3307 3rd Ave W Ste 107, Spu, Mft Dept, Seattle, WA 98119-1922 | 2007-05-21 |
| 1710032743 | Scott E Edwards | Obstetrics & Gynecology | 801 Spruce Street, 7th Floor, Philadelphia, PA 19107-5701 | 2007-01-23 |
| Street Address |
12900 CORTEZ BLVD SUITE 205 |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-6828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080629 | Hernando Medical Inc | Internal Medicine | 12900 Cortez Blvd, Ste 202, Brooksville, FL 34613 | 2006-02-07 |
| 1285055442 | Ocala Oncology Center Pl | Pathology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613-6828 | 2013-12-13 |
| 1154762177 | Paradigm Dental | Dentist | 12900 Cortez Blvd, Ste 201, Brooksville, FL 34613 | 2013-07-08 |
| 1912262601 | Thelma Teresa Nelson | Nurse Practitioner | 12900 Cortez Blvd, Suite 203, Brooksville, FL 34613-6828 | 2012-07-09 |
| 1962777664 | Jay N Rayan, Md | Legal Medicine | 12900 Cortez Blvd, Brooksville, FL 34613-6828 | 2012-03-13 |
| 1114235389 | Hernando Skin & Cancer Center P.a. | Dermatology | 12900 Cortez Blvd, Suite 205, Brooksville, FL 34613-6828 | 2010-09-21 |
| 1235383647 | Tabitha E Muchler | Nurse Practitioner | 12900 Cortez Blvd, Suite 203, Brooksville, FL 34613-6828 | 2008-11-12 |
| 1114149481 | M. Nazir Hamoui Md | Urology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613 | 2007-05-03 |
| 1346375839 | Azzam Muftah Md Pa | Specialist | 12900 Cortez Blvd, Suite 203, Brooksville, FL 34613-4898 | 2007-02-23 |
| 1124049457 | M Nazir Hamoui | Urology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613-6828 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954252 | Hernando Emergency Group LLC | Physician Assistant | 55 Ponce De Leon Blvd, Brooksville, FL 34601-3200 | 2005-12-26 |
| 1548776065 | Robert Charles Bardin | Physician Assistant | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2017-12-20 |
| 1023241643 | Ashley Kay Johnston | Physician Assistant | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2009-08-30 |
| 1134360761 | Bryan T Moynihan | Physician Assistant | 14555 Cortez Blvd, Brooksville, FL 34613-6003 | 2009-03-11 |
| 1518930023 | Joann J Dunsmore | Physician Assistant | 14540 Cortez Blvd, Ste 108, Brooksville, FL 34613-6056 | 2006-02-07 |
| 1205820511 | Monte Edwards | Physician Assistant | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| 1114911328 | Gary L Clark | Physician Assistant | 605 Lamar Ave, Brooksville, FL 34601-3211 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
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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.