EDWARD J WARD III (NPI# 1720013766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720013766 |
| Entity Type | Individual |
| Full Name | EDWARD J WARD III |
| Credential | MD |
| Practice Address |
2900 Foxfield Rd Suite 200 St Charles IL 60174-5799 |
| Practice Telephone | 6303777900 |
| Practice Fax Number | 6303778007 |
| Mailing Telephone | 6303777900 |
| Mailing Fax Number | 6303778007 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036100523 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CDPG HFS PAYEE ID | 3631498336019001 | 01 |
| IL | BLUE CROSS GROUP NUMBER | 0222075 | 01 |
| IL | 036100523 | 05 | |
| IL | TAX IDENTIFICATION NUMBER | 363149833 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891863213 | Edward Duffy Ward | Internal Medicine | 820 Follin Ln Se, Navy Federal Wellness Center, Vienna, VA 22180-4907 | 2006-12-01 |
| 1609848464 | Edward Horace Ward | Dentist | 2460 Lakeshore Dr, Saint Joseph, MI 49085-1874 | 2006-02-06 |
| 1871590877 | Edward E. Ward | Dentist | 5835 N Interstate Ave, Portland, OR 97217-4800 | 2005-07-05 |
| 1487712840 | Edward Ward | Dentist | 3501 Towne Crossing Blvd, Suite 180, Mesquite, TX 75150-2783 | 2006-12-05 |
| 1306889712 | Edward L Ward | Internal Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-06-14 |
| 1780650663 | Edward Ward | Emergency Medicine | 1653 W Congress Pkwy, Suite 177, Chicago, IL 60612-3833 | 2006-02-28 |
| Street Address |
2900 FOXFIELD RD SUITE 200 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657524 | Vivian S Vanroekel | Internal Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2005-05-23 |
| 1114475522 | Mario Blanquel | Specialist/Technologist | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2016-09-14 |
| 1548637879 | Caitlin Rogers | Nurse Practitioner | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2015-08-21 |
| 1780093187 | Elliot Paul Johnson | Physician Assistant | 2900 Foxfield Rd, Suite 102, St Charles, IL 60174-5799 | 2014-08-11 |
| 1518383629 | Rebecca Thulson | Nurse Practitioner | 2900 Foxfield Rd, Suite 101, St Charles, IL 60174-5799 | 2014-03-13 |
| 1831523414 | Jeffrey David Samburg | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-30 |
| 1821422809 | Samuel Lloyd Wilson | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-27 |
| 1861752123 | Julie Ann Gorski | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2012-05-21 |
| 1760776371 | Melissa Fish | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2011-06-01 |
| 1720381965 | Central Dupage Health | Non-Pharmacy Dispensing Site | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699896498 | Kenneth J Liesen | Family Medicine | 606 Riverside Ave, St Charles, IL 60174-2969 | 2007-04-02 |
| 1609961150 | Wendy Lynn Meyr-cherry | Family Medicine | 400 First Capitol Dr, Suite 405, St Charles, MO 63301 | 2006-10-03 |
| 1003910100 | St Charles Medical Clinic Plc | Family Medicine | 101 E. Main St., St Charles, IA 50240-1522 | 2006-09-11 |
| 1831112176 | Advanced Physical Medicine of Saint Charles | Family Medicine | 40w201 Wasco Rd, Ste Ab, St Charles, IL 60175-8509 | 2006-07-26 |
| 1801847660 | Lindy Hankel | Family Medicine | 403 W 4th St, St Charles, MN 55972-2127 | 2006-05-15 |
| 1750341061 | Vimal Navinchandra Patel | Family Medicine | 2000 W Main St, Suite M, St Charles, IL 60174-1775 | 2006-03-23 |
| 1336138486 | Robert Henry Reeder | Family Medicine | 970 N 5th Ave, St Charles, IL 60174-1227 | 2005-10-20 |
| 1760968663 | Allison Gajownik | Family Medicine | 3310 W Main St Ste 200, St Charles, IL 60175 | 2018-07-13 |
| 1861752123 | Julie Ann Gorski | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2012-05-21 |
| 1083985154 | Robert Wayne Long | Family Medicine | 525 Tyler Rd, St Charles, IL 60174-3305 | 2012-01-22 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.