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Deactivated NPI 1952538878 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Jack Edwards , DPM

Podiatrist • Odessa, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2009
NPI Deactivation Date March 18, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Edwards, DPM was a registered Podiatrist practicing in Odessa, TX. Throughout an active medical career spanning 10 years, Dr. Edwards provided care at the practice location at 800 E 7TH ST until profile deactivation on 2019-03-18.

Practice Location & Contact Primary Location

Practice Address

800 E 7th St

Odessa, TX 797614612

Telephone 4323321056
Associated Practice Facility / Clinic
🏢 Permian Basin Radiology, Llc Facility NPI 1508868373

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Odessa, TX (627 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License TX 1879

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 18, 2019

Record deactivated on March 18, 2019

NPI Profile Active September 22, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 22, 2009

Registered at 800 E 7TH ST, ODESSA, TX 797614612 (Tel: 4323321056)

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Updated Business Mailing Address September 22, 2009

Registered at 800 E 7TH ST, ODESSA, TX 797614612 (Tel: 4323321056)

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Provider Name / Credentials Updated September 22, 2009

Recorded as MICHAEL EDWARDS, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2009

Podiatrist (License #1879 in TX)

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Initial NPI Registration & Enumeration June 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952538878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2009
Last Update: September 22, 2009
Deactivation Date: March 18, 2019

Mailing Address

800 E 7th St

Odessa, TX 797614612

Phone: 4323321056

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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