Anjail M Edson (NPI# 1417202425, PAC ID# 0648421867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417202425 |
| PAC ID by PECOS | 0648421867 |
| Professional Enrollment ID | I20121117000088 |
| Full Name | Anjail M Edson |
| Organization Legal Name | CENTRAL CARE PA |
| Address |
1501 N Oakland Ave Bolivar MO 65613-3020 |
| Phone Number | 4173267200 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7911801014 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260195 | CITIZENS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 N Oakland Ave, Bolivar, MO 65613-3020 | 4173267200 | CENTRAL CARE PA |
| Organization Legal Name | CENTRAL CARE PA |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yazan A Abuodeh | Radiation Oncology | Central Care Pa | 511 S Santa Fe Ave, Central Care Cancer Ctr, Salina, KS 67401-4145 |
| Jennifer Lee Walter | Nurse Practitioner | Central Care Pa | 410 E Spruce St, Central Care Cancer Ctr, Garden City, KS 67846-5659 |
| Garry J Brown | Radiation Oncology | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Julie K West | Physician Assistant | Central Care Pa | 730 Medical Ctr Dr, Newton, KS 67114-8778 |
| Pamela L Kerns | Nurse Practitioner | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Angelica K Varga | Physician Assistant | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Claudia Perez-tamayo | Radiation Oncology | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Jose C Velasco Di Domenico | Medical Oncology | Central Care Pa | 1401 W 12th Ave, Emporia, KS 66801-2570 |
| Leonid Shunyakov | Medical Oncology | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Chloe Jo Michelle Wingert | Physician Assistant | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Street Address |
1501 N OAKLAND AVE |
| City | BOLIVAR |
| State | MO |
| Zip | 65613-3020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garry J Brown | Radiation Oncology | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Angelica K Varga | Physician Assistant | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Leonid Shunyakov | Medical Oncology | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Chloe Jo Michelle Wingert | Physician Assistant | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Bailey Rundel | Nurse Practitioner | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Jennifer White | Physician Assistant | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Terry Lynn Pratt | Nurse Practitioner | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Abhishek Kumar | Medical Oncology | Central Care Pa | 1501 N Oakland Ave, Bolivar, MO 65613-3020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia B Mcqueary | Psychologist, Clinical | 201 S Killingsworth, Bolivar, MO 65613-0963 | |
| Kristine T Grbac-schomaker | Qualified Audiologist | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 | |
| Jordan D Buckley | Nurse Practitioner | Springfield Nephrology Associates Inc | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 |
| Megan A Miller | Nurse Practitioner | Springfield Nephrology Associates Inc | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 |
| John T Tweedie | Chiropractic | 211 N Main Ave, Bolivar, MO 65613-1519 | |
| William Jansen Vanhoornbeek | Physical Therapy | 1028 W Broadway St, Suite A, Bolivar, MO 65613-1809 | |
| Wanita D Lister | Nurse Practitioner | 1317 W Broadway St, Bolivar, MO 65613-1814 | |
| Jerald D Forsyth | Clinical Psychologist | 404 E Broadway, Bolivar, MO 65613-2019 | |
| Brian G Hackleman | Chiropractic | 341 S Springfield Ave, Bolivar, MO 65613-2040 | |
| Erin E Genua | Optometry | Bolivar Vision, LLC | 325 S Main Ave, Vision Source Bolivar, Bolivar, MO 65613-2052 |
| Find all physicians in zip 65613 | |||
| City | BOLIVAR |
| Zip Code | 65613 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BOLIVAR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Anjail M Edson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.