WILLIAM EDWARDS NPI 1629161856

NPI Information

  • NPI: 1629161856
  • Provider Name: WILLIAM EDWARDS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: USA MEDDAC
    11050 MOUNT BELVEDERE BLVD
    FORT DRUM, NY
    ZIP 13602
  • Phone: (315) 772-2778

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NPI Details

William Edwards is a pediatrics in Fort Drum, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. William Edwards NPI is 1629161856. 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:

USA MEDDAC
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-2778

The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/27/2021.

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
1208000000XPediatrics036-085195ILLINOISYes

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
1036085195MEDICAIDILLINOIS

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: 3/30/2025

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