Individual
DR. JONATHAN BLAIR EDMISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-6892
(541) 706-6813
Mailing address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
289259
MA
207R00000X
Internal Medicine Physician
Primary
289259
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2018
Last updated
11/01/2022
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