MEDICARE: DR. JEREMY VAUGHAN EDWARDS D.O.

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	208000000X	Pediatrics Physician	DOS951	HI
2	2080P0207X	Pediatric Hematology & Oncology Physician	DOS951	HI
3	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	DOS951	HI

General Provider Information

NPI Number	:	1548269285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEREMY VAUGHAN EDWARDS D.O.

Provider Business Mailing Address
First Line	:	21320 RIDGECROFT DR
Second Line	:
City	:	BROOKEVILLE
State	:	MD
Zip	:	20833-1818
Country	:	US
Telephone Number	:	808-233-9121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4494 NORTH PALMER ROAD DEPARTMENT OF PEDIATRICS
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5001
Country	:	US
Telephone Number	:	301-400-3327
Fax Number	:

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	05/02/2020

Similar Medicare Providers

1487990495 — BETHESDA MEDICARE SERVICES LTD
Practice Location Address:

990 GRAND CANYON PKWY , SUITE 418
HOFFMAN ESTATES, IL
60169-1737

Practice Phone: 331-472-8802
Practice Fax: 331-472-8803

1548247646 — DAVID PHILIP SENSIBA PHD, MSW, LCSW
Practice Location Address:

8901 ROCKVILLE PIKE
BETHESDA, MD
20889-5001

Practice Phone: 301-295-8018
Practice Fax:

1265411995 — DR. JASON MICHAEL BLAYLOCK M.D.
Practice Location Address:

8901 ROCKVILLE PIKE
BETHESDA, MD
20889-5001

Practice Phone: 301-295-4482
Practice Fax:

1053384446 — DR. SUSAN GIBSON DUNLOW M.D.
Practice Location Address:

8901 ROCKVILLE PIKE
BETHESDA, MD
20889-5001

Practice Phone: 301-400-2433
Practice Fax:

1104890425 — DR. MICHAEL P MULREANY MD
Practice Location Address:

8901 WISCONSIN AVE
BETHESDA, MD
20889-5001

Practice Phone: 301-294-4959
Practice Fax:

1891760013 — MR. ROBERT BRIAN GOLDBERG R.D.
Practice Location Address:

8901 ROCKVILLE PIKE
BETHESDA, MD
20889-5001

Practice Phone: 240-731-1589
Practice Fax:

Directions to “ DR. JEREMY VAUGHAN EDWARDS D.O.” 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.