EDGEWATER GYNECOLOGY P A – NPI #1508818691
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

EDGEWATER GYNECOLOGY P A is a provider located in EDGEWATER, FL. NPPES has assigned the NPI number 1508818691 to EDGEWATER GYNECOLOGY P A on May 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGEWATER GYNECOLOGY P A below.

NPI Profile for
EDGEWATER GYNECOLOGY P A

NPI Number
1508818691
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDGEWATER GYNECOLOGY P A
Primary location
109 W. KNAPP AVENUE
EDGEWATER, FL 32132
Phone: (386) 427-4544 Fax: (386) 427-8688
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HEATHER METCHICK
PRESIDENT
Phone: (386) 427-4544
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.