| 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 | 28 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pbs Anesthesia Llc | 7911090204 | 41 |
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 934 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| 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 | Pbs Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740403658 PECOS PAC ID: 7911090204 Enrollment ID: O20070831000293 |
| 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: Medicare Enrolled 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: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3147 Fax: 386-231-3695 | |
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 |