Individual
DR. JOHN D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
0101249785
VA
2086S0129X
Vascular Surgery Physician
Primary
036139185
IL
2086S0129X
Vascular Surgery Physician
35-072723
OH
2086S0129X
Vascular Surgery Physician
38823
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609662
ANTHEM - NVA
KY
01
—
000023035Y
HUMANA - CTS (NVA)
KY
01
—
00533123
MEDICARE KY - CTS (NVA)
KY
01
—
103475
SIHO - NVA
KY
05
—
200164020
—
IN
05
—
2040375
—
OH
01
—
3709852000
PASSPORT ADVTG - NVA
KY
01
—
50011792
PASSPORT - NVA
KY
01
—
6286669
CIGNA - NVA
KY
05
—
64960628
—
KY
01
—
P00201740
RR MEDICARE
OH
01
—
P00733104
RR MCR-KY (NVA)
KY
Enumeration date
05/13/2006
Last updated
04/28/2021
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