Individual
JONATHAN EDGINGTON
Active
Individual
JONATHAN EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01085798A
IN
207X00000X
Orthopaedic Surgery Physician
125066941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001543024
ANTHEM
IN
05
—
300050201
—
IN
Enumeration date
06/02/2015
Last updated
10/03/2025
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