John Anderson Edwards, MD
Pediatrics in Neenah, WI. Individual provider (NPI-1).
NPI number1497787048
StatusActive
Last updated in NPPESJan 10, 2018
Details
- NPI
- 1497787048
- Entity type
- Individual (NPI-1)
- Name
- John Anderson Edwards
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2006
- Last updated
- Jan 10, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 38917-020 | WI | Yes |
Practice location
130 2nd StNeenah, WI 54956-2883
Phone 920-969-7900 · Fax 920-969-7979
Mailing address
9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874
Phone 414-266-7615 · Fax 414-266-6238
Other practice locations
2701 E Enterprise Ave
Appleton, WI 54913-7729
Appleton, WI 54913-7729
Phone 920-954-2551
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Pediatrics Physician providers in Neenah · All 1,140 providers in Neenah
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