DR. ANDREA EDWARDS (NPI# 1760910277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760910277 |
| Entity Type | Individual |
| Full Name | DR. ANDREA EDWARDS |
| Credential | DO |
| Practice Address |
540 The Rialto Venice FL 34285-2900 |
| Mailing Address |
Po Box 850001 Orlando FL 32885-0001 |
| Practice Telephone | 4148669279 |
| Practice Fax Number | 9414863961 |
| Mailing Telephone | 9414866927 |
| Mailing Fax Number | 9414866931 |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS16818 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | OS16818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164861787 | Andrea Denese Edwards | Counselor | 12661 Ns 3660, Wewoka, OK 74884-6022 | 2013-06-17 |
| 1700221124 | Andrea Edwards | Licensed Practical Nurse | 10107 Keys Ferry Rd, Fairdale, KY 40118-9033 | 2013-04-30 |
| 1023351491 | Andrea Nicole Edwards | Licensed Practical Nurse | 895 The Circle Dr, Lewiston, NY 14092-2044 | 2013-04-03 |
| 1255341962 | Andrea Gaye Edwards | Internal Medicine | 1663 Dominican Way Ste 210, Suite 210, Santa Cruz, CA 95065-1556 | 2006-08-08 |
| 1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
| 1649817586 | Andrea Edwards | Behavior Technician | 2846 N Garland Ave, Fayetteville, AR 72704-2164 | 2019-12-10 |
| 1447636576 | Andrea Marie Edwards | Student in an Organized Health Care Education/Training Program | 21455 Birch St, Suite 201, Hayward, CA 94541-2165 | 2015-07-30 |
| 1649697210 | Andrea Edwards | Social Worker | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2014-03-21 |
| 1174952501 | Andrea Edwards | Social Worker | 135 W 50th St, 6th Fl, New York, NY 10020-1201 | 2013-11-06 |
| 1114273786 | Andrea Jacqueline Edwards | Nurse Practitioner | 100 Spalding Dr, Ste 208, Naperville, IL 60540-6550 | 2012-07-31 |
| Street Address |
540 THE RIALTO |
| City | VENICE |
| State | FL |
| Zip Code | 34285-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639130834 | Harshit A Shah | Internal Medicine | 540 The Rialto, Venice, FL 34285-2900 | 2006-03-29 |
| 1376141986 | Emily Cunningham | Nurse Practitioner | 540 The Rialto, Venice, FL 34285-2900 | 2020-10-15 |
| 1932722188 | Venice Hma LLC | Medicare Defined Swing Bed Unit | 540 The Rialto, Venice, FL 34285-2900 | 2020-05-22 |
| 1295368629 | Bernardus Menno Hack | Physical Therapist | 540 The Rialto, Venice, FL 34285-2900 | 2020-02-13 |
| 1912538570 | Patrick Joseph Moran | Physical Therapist | 540 The Rialto, Venice, FL 34285-2900 | 2020-01-31 |
| 1891250023 | Ann Peggy Padiken | Pharmacist | 540 The Rialto, Venice, FL 34285-2900 | 2019-02-01 |
| 1073087060 | Courtney Michel Werner | Physician Assistant | 540 The Rialto, Venice, FL 34285-2900 | 2019-01-14 |
| 1003313115 | Kristy L Petersen | Nurse Practitioner | 540 The Rialto, Venice, FL 34285-2900 | 2018-04-06 |
| 1255845921 | Nafisa Nathani | Nurse Practitioner | 540 The Rialto, Venice, FL 34285-2900 | 2017-11-16 |
| 1831628163 | Jeffrey Nicholas Mcdonald | Physician Assistant | 540 The Rialto, Venice, FL 34285 | 2017-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881585 | Raymond Lachlan Steele | Internal Medicine | 842 Sunset Lake Blvd Ste 401, Venice, FL 34292-7553 | 2017-03-07 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1407090921 | John Melecito Baga | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2009-04-28 |
| 1376795401 | Venetian Hospitalist Services | Internal Medicine | 535 Us Hwy 41 Bypass N, Ste 239, Venice, FL 34292-0000 | 2008-10-21 |
| 1295946804 | Robert Joel Heller | Internal Medicine | 1126 Rose Ave, Venice, CA 90291-2835 | 2007-05-24 |
| 1184783615 | Todd Feinman | Internal Medicine | 1532 Penmar Ave, Venice, CA 90291-2936 | 2006-12-08 |
| 1437255916 | Eric Lough | Internal Medicine | 329 Nokomis Ave S Ste F, Venice, FL 34285-2418 | 2006-09-15 |
| 1750494555 | Rosaura E Baez | Internal Medicine | 4125 S Tamiami Trl Ste 2, Venice, FL 34293-5121 | 2006-08-16 |
| 1154333581 | Guillermo Marcos Oynick Yaschin | Internal Medicine | 1287 Us Highway 41bypass S, Venice, FL 34285-5545 | 2006-08-13 |
| 1306860382 | Robert R Lastomirsky | Internal Medicine | 740 The Rialto, Venice, FL 34285-3524 | 2006-07-26 |
| Find all providers in VENICE | ||||
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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.