Physician Compare National (NPI:1740223403)

HEALTHCARE PROVIDER: JEANNE M EDWARDS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740223403
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345217824
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040914000711
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EDWARDS
	Individual professional last name
Provider First Name	JEANNE
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1717 B S UTICA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	TULSA
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	741045332
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370114
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOHN MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370218
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS HOSPITAL SOUTH, LLC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	370018
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	370089
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NORTHEASTERN HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	370235
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST JOHN BROKEN ARROW, INC
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1740223403)

HEALTHCARE PROVIDER: JEANNE M EDWARDS MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information