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DR. CEAZON TRISMEGISTUS EDWARDS M.D. NPI 1417396227


NPI Information

NPI: 1417396227
Provider Name: DR. CEAZON TRISMEGISTUS EDWARDS, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
8210 WALNUT HILL LN STE 505
DALLAS, TX
ZIP 75231
Phone: (214) 345-4160
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DR. Ceazon Trismegistus Edwards, M.D. is a vascular surgery surgery in Dallas, TX with 11 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Ceazon Trismegistus Edwards, M.D. NPI is 1417396227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

8210 WALNUT HILL LN STE 505
DALLAS, TX
ZIP 75231-420
Phone: (214) 345-4160
Fax: (214) 345-4165

The NPI 1417396227 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2013 and was last updated on 9/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryU6228TEXASYes
2208600000XSurgery4301103542MICHIGANNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.