MR. JAMES EDWARD EDMOND PA-C NPI 1477961225

NPI Information

NPI: 1477961225
Provider Name: MR. JAMES EDWARD EDMOND, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
287 E HUNT HWY
SUITE 105
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (480) 677-8282
Get Directions

MR. James Edward Edmond, PA-C is a medical physician assistant in San Tan Valley, AZ. MR. James Edward Edmond, PA-C NPI is 1477961225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

287 E HUNT HWY
SUITE 105
SAN TAN VALLEY, AZ
ZIP 85143-095
Phone: (480) 677-8282
Fax: (480) 677-8283

The NPI 1477961225 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 7/24/2014 and was last updated on 4/5/2017.

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	363AM0700X	Physician Assistant	Medical	11580	MINNESOTA	No
2	363AM0700X	Physician Assistant	Medical	6653	ARIZONA	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	Other Provider Identifier Issuer
1	1059048	OTHER	MINNESOTA	NCCPA

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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