THEODORE D. EDSON M.D. – NPI #1679572572
Colon & Rectal Surgery

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

THEODORE EDSON is a colon & rectal surgeon located in SAN DIEGO, CA. NPPES has assigned the NPI number 1679572572 to THEODORE EDSON on July 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.

The NPI profile was last updated on Nov 19, 2024. 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 THEODORE EDSON below.

NPI Profile for
THEODORE D. EDSON

NPI Number
1679572572
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THEODORE D. EDSON
Credentials
M.D.
Primary location
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134-5191
Phone: (619) 532-7575 Fax:
Mailing address
3456 MOON FIELD DR
CARLSBAD, CA 92008-5542
Phone: (760) 729-2018 Fax: (760) 725-0117
Sole Proprietor
No
Updated
Certification Date
Nov 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208C00000X
- Colon & Rectal Surgery (Primary)
IL 036120197

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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