DR. SAMUEL B. EDELMAN (NPI# 1629064134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629064134 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL B. EDELMAN |
| Credential | D.O. |
| Practice Address |
710 Center Street Columbus GA 31901 |
| Mailing Address |
Po Box 1038 Columbus GA 31902-1038 |
| Practice Telephone | 7065711220 |
| Practice Fax Number | 7065711070 |
| Mailing Telephone | 7066606148 |
| Mailing Fax Number | 7066602843 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
070804 | GA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD.15263R | LA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
15263R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003115568B | 05 | |
| AL | 154008 | 05 | |
| LA | 1168602 | 05 |
| Street Address |
710 CENTER STREET |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851996 | Cody Burger | Pharmacist | 710 Center Street, Department of Pharmacy, Columbus, GA 31904 | 2017-06-14 |
| 1619302346 | Leigh Conner | Pharmacist | 710 Center Street, Columbus, GA 31901 | 2013-09-12 |
| 1881993657 | Sheel Patel Todd | Anesthesiology | 710 Center Street, Amsol Physicians of Columbus, Columbus, GA 31901-1527 | 2011-03-19 |
| 1356483184 | Travis J Kennedy | Pharmacist | 710 Center Street, Columbus, GA 31901 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104212075 | Takaharu Karube | Pediatrics | 700 Childrens Dr, Columbus, OH 43205 | 2015-04-08 |
| 1215227384 | Marlina E Lovett | Pediatrics | 700 Childrens Dr, Columbus, OH 43205 | 2011-04-11 |
| 1013158112 | Nicole Fortier Obrien | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2009-03-19 |
| 1245416197 | David J Marquardt | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2008-01-10 |
| 1952524712 | Eric Lloyd | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-04-10 |
| 1770609588 | Jennifer A Muszynski | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2007-03-22 |
| 1235156860 | Ada T Lin | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-07-17 |
| 1396797031 | Richard J Brilli | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2006-05-17 |
| 1972567055 | Anthony Yun Lee | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-04-14 |
| 1417941261 | Tensing Maa | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-09-08 |
| Find all providers in COLUMBUS | ||||
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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.