PHILIP MARSHALL EDMUNDSON (NPI# 1831533835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831533835 |
| Entity Type | Individual |
| Full Name | PHILIP MARSHALL EDMUNDSON |
| Credential | M.D. |
| Practice Address |
8230 Walnut Hill Ln Ste 320 Dallas TX 75231-4481 |
| Practice Telephone | 2143695432 |
| Practice Fax Number | 2143695591 |
| Mailing Telephone | 2143695432 |
| Mailing Fax Number | 2143695591 |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | R7445 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
R7445 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 388262302 | 01 |
| TX | 388262301 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Gaston Ave, Dallas, TX 752462017 | 2148202361 |
| Street Address |
8230 WALNUT HILL LN STE 320 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346460169 | Mohammad Amin Frotan | Surgery | 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 | 2007-04-26 |
| 1093335028 | Jordan Stellato | Physician Assistant | 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 | 2020-04-20 |
| 1700434750 | Claire Ann Brewer | Physician Assistant | 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 | 2019-09-03 |
| 1851949861 | Ken Paul Nikaidoh | Physician Assistant | 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 | 2019-09-03 |
| 1316417157 | Carley Jean Schwartz | Physician Assistant | 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 | 2018-12-04 |
| 1518323146 | Jordan Hughey | Physician Assistant | 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231-4481 | 2016-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174815765 | Kara Monday | Surgery | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2011-05-14 |
| 1609005669 | David Burl Duvall | Surgery | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2009-07-10 |
| 1801926993 | Joseph T Murphy | Surgery | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2007-03-07 |
| 1902909849 | Stephen S Luk | Surgery | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-09-06 |
| 1538113469 | Herbert A. Phelan | Surgery | 5323 Harry Hines Blvd, E5-508, Dallas, TX 75390-9158 | 2006-05-22 |
| 1750341657 | John L Hunt | Surgery | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730418898 | Clarisse Djukom | Surgery | 3102 69th St, Galveston, TX 77551-2191 | 2009-12-18 |
| 1851528335 | Erich Paul Gerhardt | Surgery | 910 E Houston St Ste 530, Tyler, TX 75702-8366 | 2009-06-11 |
| 1588752380 | Octavio Javier Garcia Sr. | Surgery | 822 Kinney St, Corpus Christi, TX 78401-3006 | 2006-10-10 |
| 1154355626 | David Lawrence Smith | Surgery | 4001 W 15th St Ste 425, Plano, TX 75093-5848 | 2006-07-10 |
| 1932149010 | James Gordon Cushman | Surgery | 18101 Point Lookout Dr Apt 103, Houston, TX 77058-3568 | 2006-06-07 |
| 1710977525 | Lorne Howar Blackbourne | Surgery | 2300 Round Rock Ave Ste 201, Round Rock, TX 78681-4026 | 2005-10-24 |
| 1811997059 | Scott H Norwood | Surgery | 1020 E Idel St, Tyler, TX 75701-2024 | 2005-07-29 |
| 1124438072 | Nestor Arita | Surgery | 1 Baylor Plz, 404d, Houston, TX 77030-3411 | 2014-04-30 |
| 1871837377 | William Benedict Norbury | Surgery | 815 Market St, Shriners Hospitals for Children - Galveston, Galveston, TX 77550-2725 | 2012-11-21 |
| 1932469178 | Anthony Cahill | Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2012-05-22 |
| Find all providers with the same taxonomy | ||||
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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.