DR. EDWARD B MIEDEMA M.D. NPI 1912908765

NPI Information

NPI: 1912908765
Provider Name: DR. EDWARD B MIEDEMA, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
206 GAMBLE DR
SUITE C
LINCOLNTON, NC
ZIP 28092
Phone: (704) 732-4409
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DR. Edward B Miedema, M.D. is a specialist in Lincolnton, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Edward B Miedema, M.D. NPI is 1912908765. 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:

206 GAMBLE DR
SUITE C
LINCOLNTON, NC
ZIP 28092-439
Phone: (704) 732-4409
Fax: (704) 735-5784

The enumeration date for this NPI number is 8/2/2005 and was last updated on 1/4/2008.

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	174400000X	Specialist			NORTH CAROLINA	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	B90433	MEDICARE UPIN	NORTH CAROLINA
2	2336611	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
3	89135MK	MEDICAID	NORTH CAROLINA
4	5046770001	MEDICARE NSC	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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