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Dr. John Edeen III

Pediatric Orthopaedic Surgeon

4499 Medical Dr Suite 235
San Antonio , Texas 78229-3735

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Dr. John Edeen III

Pediatric Orthopaedic Surgeon

4499 Medical Dr Suite 235
San Antonio , Texas 78229-3735

(210) 616-0290

Write a Review Save Call

Dr. John Edeen III

Pediatric Orthopaedic Surgeon

4499 Medical Dr Suite 235
San Antonio , Texas 78229-3735

(210) 616-0290 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Orthopaedic Surgeon

Languages spoken

  • English

Location

4499 Medical Dr Suite 235 San Antonio , Texas 78229-3735

First Address

  • Dr. John Edeen III
  • 4499 Medical Drive Suite 235
  • San Antonio, TX
  • Zip : 78229-3712
  • Fax : (210) 616-0290
  • Phone : (210) 692-1613

Second Address

  • Dr. John Edeen III
  • 4499 Medical Dr Suite 235
  • San Antonio, TX
  • Zip : 78229-3735
  • Fax : (210) 616-0290
  • Phone : (210) 692-1613

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FAQs


Where did Dr. John Edeen III attend graduate school?

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Where did Dr. John Edeen III do his residency?

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Where did Dr. John Edeen III do his fellowship?

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Is Dr. John Edeen III board certified?

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What type of doctor is Dr. John Edeen III

Pediatric Orthopaedic Surgeon

In what state does Dr. John Edeen III practice in?

Texas

Where is Dr. John Edeen III’s practice located?

4499 Medical Dr Suite 235 , San Antonio, Texas, 78229-3735

What is Dr. John Edeen III’s gender?

Male

Is Dr. John Edeen III a sole practitioner?

No

Is Dr. John Edeen III accepting new patients?

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What languages does Dr. John Edeen III speak?

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Does Dr. John Edeen III accept insurance?

Yes, Dr. John Edeen III accepts insurance

Does Dr. John Edeen III offers telemedicine?

Dr. John Edeen III has not indicated if he offers telemedicine

What is Dr. John Edeen III’s professional license number?

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What is Dr. John Edeen III’s NPI number?

1972578565

Does Dr. John Edeen III have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207XP3100X Pediatric Orthopaedic Surgeon K3719 TX

National Provider Identifier

NPI 1972578565
Provider Name Dr. John Edeen III
First Address San Antonio, TX 78229-3712
Second Address San Antonio, TX 78229-3735
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 17/02/2006
Last Update Date 22/08/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
048514602 (05) TX
048514602 TPI (01) TX
F96389 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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