Provider Demographics
NPI:1528258431
Name:EDWARD E JAMES DO ASSOCIATES INC.
Entity type:Organization
Organization Name:EDWARD E JAMES DO ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-262-4694
Mailing Address - Street 1:1308 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2024
Mailing Address - Country:US
Mailing Address - Phone:412-262-4694
Mailing Address - Fax:412-262-5920
Practice Address - Street 1:1308 5TH AVE
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2024
Practice Address - Country:US
Practice Address - Phone:412-262-4694
Practice Address - Fax:412-262-5920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PWOS000919L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA406864OtherHIGHMARK BLUE SHIELD
PA406864Medicare PIN