| 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 | 29 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 |
|---|---|---|
| Spring Valley Hospital Medical Center | Las vegas, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 860 |
| Pbs Anesthesia Llc | 7911090204 | 42 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Volusia Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205861697 PECOS PAC ID: 3971509720 Enrollment ID: O20061018000445 |
| Entity Name | Innovative Medical Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
| Entity Name | Parrish Anesthesia Specialist, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780997023 PECOS PAC ID: 8921289943 Enrollment ID: O20110224000281 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Miami Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821475179 PECOS PAC ID: 1355651837 Enrollment ID: O20151112002797 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| 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 | |
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 | |
Vadim Purygin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-676-6000 |