DR. JILL ELIZABETH EDISON MD NPI 1225039514

NPI Information

NPI: 1225039514
Provider Name: DR. JILL ELIZABETH EDISON, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
435 DOYLE PARK DR
SANTA ROSA, CA
ZIP 95405
Phone: (707) 527-9510
Get Directions

DR. Jill Elizabeth Edison, MD is a nephrology internal medicine in Santa Rosa, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Jill Elizabeth Edison, MD NPI is 1225039514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

435 DOYLE PARK DR
SANTA ROSA, CA
ZIP 95405-515
Phone: (707) 527-9510
Fax: (707) 527-1306

The enumeration date for this NPI number is 8/9/2005 and was last updated on 12/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	G81587	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G815870	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	00G815870	MEDICAID	CALIFORNIA
3	G82272	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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