Ryan John Edwards (NPI# 1619355252, PAC ID# 2264746759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619355252 |
| PAC ID by PECOS | 2264746759 |
| Professional Enrollment ID | I20180822001293 |
| Full Name | Ryan John Edwards |
| Organization Legal Name | EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION |
| Address |
1322 Elton Rd S Suite P Jennings LA 70546-4100 |
| Phone Number | 3378242282 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618126194 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190053 | JENNINGS AMERICAN LEGION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1322 Elton Rd S, Suite P, Jennings, LA 70546-4100 | 3378242282 | EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION |
| Organization Legal Name | EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Edwards | Family Medicine | Edwards Family Medicine A Professional Medical Corporation | 1322 Elton Rd S, Suite P, Jennings, LA 70546-4100 |
| Kristen H Hanks | Nurse Practitioner | Edwards Family Medicine A Professional Medical Corporation | 1322 Elton Rd S, Suite P, Jennings, LA 70546-4100 |
| Christian S Lewis | Nurse Practitioner | Edwards Family Medicine A Professional Medical Corporation | 1322 Elton Rd S, Suite P, Jennings, LA 70546-4100 |
| Street Address |
1322 ELTON RD S SUITE P |
| City | JENNINGS |
| State | LA |
| Zip | 70546-4100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Edwards | Family Medicine | Edwards Family Medicine A Professional Medical Corporation | 1322 Elton Rd S, Suite P, Jennings, LA 70546-4100 |
| Kristen H Hanks | Nurse Practitioner | Edwards Family Medicine A Professional Medical Corporation | 1322 Elton Rd S, Suite P, Jennings, LA 70546-4100 |
| Christian S Lewis | Nurse Practitioner | Edwards Family Medicine A Professional Medical Corporation | 1322 Elton Rd S, Suite P, Jennings, LA 70546-4100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Le'shann Dugas | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Jerome F Gallien | Diagnostic Radiology | Aldes Rozas Md Inc | 1634 N Elton Rd, Jennings, LA 70546-3614 |
| Harold W Bertrand | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| William K Caraway | Certified Registered Nurse Anesthetist (crna) | Jennings Anesthesia LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Brady R Drapekin | Family Medicine | Jefferson Davis Physician Services, LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Samer Bakhos | Family Medicine | Jefferson Davis Physician Services, LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Aldes J Rozas Iii | Diagnostic Radiology | Aldes Rozas Md Inc | 1634 N Elton Rd, Jennings, LA 70546-3614 |
| Keith Davis Moffit | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| William D Fontenot | Certified Registered Nurse Anesthetist (crna) | Jennings Anesthesia LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Melanie B White | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Find all physicians in zip 70546 | |||
| City | JENNINGS |
| Zip Code | 70546 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JENNINGS + FAMILY MEDICINE |
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| 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.