Healthcare Provider Details

I. General information

NPI: 1457526204
Provider Name (Legal Business Name): SARAH MARIE EDWARDS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARIE MCCORMICK MD

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, ATTN: MCHJ-CLG-M
TACOMA WA
98431-1100
US

IV. Provider business mailing address

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, ATTN: MCHJ-CLG-M
TACOMA WA
98431-1100
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-2417
  • Fax: 253-968-1254
Mailing address:
  • Phone: 253-968-2417
  • Fax: 253-968-1254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2012-01720
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number24907
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number2012-01720
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number24907
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberDR.0076306
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: