MEDICARE: EDGAR EMERIC M.D.

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	35734	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1619978566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDGAR EMERIC M.D.

Provider Business Mailing Address
First Line	:	PO BOX 910670
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40591-0670
Country	:	US
Telephone Number	:	859-971-4685
Fax Number	:	859-971-4602

Provider Business Practice Location Address
First Line	:	4071 TATES CREEK CENTRE DR
Second Line	:	SUITE 100
City	:	LEXINGTON
State	:	KY
Zip	:	40517-3062
Country	:	US
Telephone Number	:	859-273-3888
Fax Number	:	859-977-0170

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	05/29/2013

Similar Medicare Providers

1740286921 — DR. WILLIAM R ALLEN MD
Practice Location Address:

4071 TATES CREEK CENTRE DR , SUITE 202
LEXINGTON, KY
40517-3062

Practice Phone: 859-971-4695
Practice Fax: 859-971-4604

1346248697 — DR. EDWARD CLARKE STANDIFORD M.D.
Practice Location Address:

4071 TATES CREEK CENTRE DR , SUITE 100
LEXINGTON, KY
40517-3062

Practice Phone: 859-273-3888
Practice Fax: 859-272-3256

1245231182 — ALLAN DUANE HALBERT M.D.
Practice Location Address:

4071 TATES CREEK CENTRE DR , SUITE 100
LEXINGTON, KY
40517-3062

Practice Phone: 859-273-3888
Practice Fax: 859-977-0170

1386645018 — TIMOTHY R SCOTT M.D.
Practice Location Address:

4071 TATES CREEK CENTRE DR , SUITE 100
LEXINGTON, KY
40517-3062

Practice Phone: 859-273-3888
Practice Fax: 859-977-0170

1396730701 — MR. THOMAS J GARRISON PA C
Practice Location Address:

4071 TATES CREEK CENTRE DR , SUITE 202
LEXINGTON, KY
40517-3062

Practice Phone: 859-277-7129
Practice Fax: 859-277-9613

1528036100 — JUAWANNA L SCHULLER ARNP
Practice Location Address:

4071 TATES CREEK CENTRE DR , SUITE 100
LEXINGTON, KY
40517-3062

Practice Phone: 859-273-3888
Practice Fax: 859-272-3256

Directions to “ EDGAR EMERIC M.D.” 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.