Johnathan J Edwards, MD | |
301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | |
(386) 231-3072 | |
(386) 231-5962 |
Full Name | Johnathan J Edwards |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 301 Memorial Medical Pkwy, Daytona Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740258300 | NPI | - | NPPES |
100504572 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 10500 (Nevada) | Secondary |
207L00000X | Anesthesiology | ME119864 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Zen Anesthesia, Llc | 2062689334 | 7 |
Us Anesthesia Partners Of Florida Inc | 0345143152 | 777 |
Anesthesia Dynamics Llc | 3779832530 | 379 |
Volusia Anesthesiology Associates Pa | 3971509720 | 25 |
Entity Name | Freeman & Young Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013944149 PECOS PAC ID: 0446232169 Enrollment ID: O20040604000765 |
Entity Name | Optum Medical Group Ii Rhodes P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770 |
Entity Name | Optum Medical Group Rhodes P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063458594 PECOS PAC ID: 1052390036 Enrollment ID: O20040714000813 |
Entity Name | Zen Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942589122 PECOS PAC ID: 2062689334 Enrollment ID: O20120127000414 |
Entity Name | Red Rock Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235660002 PECOS PAC ID: 4284910290 Enrollment ID: O20170405001723 |
Mailing Address | Practice Location Address |
---|---|
Johnathan J Edwards, MD 5300 S Atlantic Ave Apt 19602, New Smyrna Beach, FL 32169-7522 Ph: (702) 222-3238 | Johnathan J Edwards, MD 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-3072 |
Diane F Lapham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1980 Lpga Blvd, Suite 210, Daytona Beach, FL 32117 Phone: 386-274-1744 Fax: 386-274-1644 | |
Sharif Al-ruzzeh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-6000 | |
Dr. Linda W. Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
David Schultz, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 386-255-8520 | |
Daniela Holloway, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 385-255-8520 | |
Dr. Allen Edward Coleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 352-733-0485 | |
Richard Lipton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 386-255-8520 |