DR. CHARLES STEPHEN EDWARDS MD NPI 1942318290

NPI Information

NPI: 1942318290
Provider Name: DR. CHARLES STEPHEN EDWARDS, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
4075 OLD WESTERN ROW RD
LINDNER CENTER OF HOPE
MASON, OH
ZIP 45040
Phone: (513) 536-4673
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DR. Charles Stephen Edwards, MD is a child and adolescent psychiatry psychiatry neurology in Mason, OH. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Charles Stephen Edwards, MD NPI is 1942318290. 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:

4075 OLD WESTERN ROW RD
LINDNER CENTER OF HOPE
MASON, OH
ZIP 45040-104
Phone: (513) 536-4673

The enumeration date for this NPI number is 8/28/2006 and was last updated on 8/25/2008.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	16873	WEST VIRGINIA	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	25933	KENTUCKY	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	092117	OHIO	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	ED0719661	MEDICARE ID-TYPE UNSPECIFIED
2	0879536	OTHER	OHIO	MEDICAID
3	64698905	OTHER	KENTUCKY	MEDICAID
4	F23743	MEDICARE UPIN
5	0115170000	MEDICAID	WEST VIRGINIA

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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