MEDICARE: DR. GARY S EDWARDS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R-3105	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080060546	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588699904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY S EDWARDS DO

Provider Business Mailing Address
First Line	:	9616 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5769
Country	:	US
Telephone Number	:	479-242-8218
Fax Number	:	479-242-8223

Provider Business Practice Location Address
First Line	:	9616 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5769
Country	:	US
Telephone Number	:	479-242-8218
Fax Number	:	479-242-8223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/31/2015

Similar Medicare Providers

1366464075 — COOPER CLINIC, PA
Practice Location Address:

9616 ROGERS AVE
FORT SMITH, AR
72903-5769

Practice Phone: 479-274-2000
Practice Fax: 479-274-2194

1629298500 — TIMOTHY Y. MARYANOV M.D.
Practice Location Address:

9616 ROGERS AVE
FORT SMITH, AR
72903-5769

Practice Phone: 479-242-3310
Practice Fax: 479-439-8868

1841555380 — DR. STEPHANIE YVONNE SUBLETT M.D.
Practice Location Address:

9941 ILLINOIS RD
FORT WAYNE, IN
46804-5769

Practice Phone: 260-264-0384
Practice Fax: 260-264-2248

1437152832 — CHRISTOPHER B GRIFFITH M.D.
Practice Location Address:

16230 SUMMERLIN RD STE 215
FORT MYERS, FL
33908-5769

Practice Phone: 239-468-0210
Practice Fax: 239-343-4236

1780646828 — DR. ROBERT KEITH MINKES M.D.
Practice Location Address:

16230 SUMMERLIN RD , STE 215
FORT MYERS, FL
33908-5769

Practice Phone: 239-343-6050
Practice Fax:

1841233988 — MARIA DESCARTES
Practice Location Address:

16230 SUMMERLIN RD STE 215
FORT MYERS, FL
33908-5769

Practice Phone: 239-468-0210
Practice Fax: 239-343-4236

Directions to “ DR. GARY S EDWARDS DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.