Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497787048 Individual Practitioner Male Practitioner

Dr. John Anderson Edwards , MD

Pediatrics • Neenah, WI

Professional Overview & Biography Verified Profile Summary

Dr. John Edwards, MD is a registered healthcare professional specializing in Pediatrics in Neenah, WI. Practice services are available at 130 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 2nd St

Neenah, WI 549562883

Telephone 9209697900
Fax 9209697979
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Neenah, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Neenah, WI (1245 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 38917-020

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1497787048 (WI)

Secondary Practice Locations

2701 E Enterprise Ave

Appleton, WI 549137729

Phone: 9209542551

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Erik Verhage , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1073075826

Doctor of Medicine (M.D.)

Michele Polfuss , NP

Nurse Practitioner - Pediatrics

NPI 1164476156

Nurse Practitioner

Sarah Schiesl , RN, BSN

Registered Nurse - Pediatrics

NPI 1215023874

Registered Nurse, Bachelor of Science in Nursing

NPI 1225357122

Doctor of Medicine (M.D.)

Nicole Beyer

Dietitian, Registered

NPI 1255731790
Dr. Sarah Furqan , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1285293316

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2018

Registered at 130 2ND ST, NEENAH, WI 549562883 (Tel: 9209697900)

📍
Updated Business Mailing Address January 10, 2018

Registered at 9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 532264874 (Tel: 4142667615)

👤
Provider Name / Credentials Updated January 10, 2018

Recorded as JOHN EDWARDS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Pediatrics (License #38917-020 in WI)

NPI Profile Active February 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2012

Registered at 2701 E ENTERPRISE AVE, APPLETON, WI 549137729 (Tel: 9209542551)

📍
Updated Business Mailing Address February 21, 2012

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963200)

👤
Provider Name / Credentials Updated February 21, 2012

Recorded as JOHN EDWARDS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2012

Pediatrics (License #38917-020 in WI)

🟢
Initial NPI Registration & Enumeration July 06, 2006

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: 1497787048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: January 10, 2018
Sole Proprietor: No

Mailing Address

9000 W Wisconsin Ave # Ms 958

Milwaukee, WI 532264874

Phone: 4142667615

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.