Individual
ANDREW KEITH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
(765) 446-7023
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01053185A
IN
207Q00000X
Family Medicine Physician
01053185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228927
ANTHEM PROVIDER NUMBER - FAMILY MEDICINE
IN
01
—
000000759193
ANTHEM PROVIDER NUMBER - URGENT CARE
IN
01
—
11319869
CAQH NUMBER
IN
05
—
200239840
—
IN
01
—
9397039
PHCS PID NUMBER
IN
Enumeration date
03/16/2006
Last updated
12/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us