Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIAM EDWARDS
NPI 1629161856
Pediatrics in Fort Drum, NY

Q: What is William Edwards's NPI number?

The NPI number for William Edwards is 1629161856. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is William Edwards's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for William Edwards was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2006

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-2778 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About William Edwards NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM EDWARDS (NPI 1629161856) is an individual pediatrics provider in Fort Drum, New York, licensed in Illinois (036-085195) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1629161856

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameWILLIAM EDWARDS

Location AddressUSA MEDDAC, 11050 MOUNT BELVEDERE BLVDFort Drum, NY 13602

Mailing AddressUsa Meddac, 11050 Mount Belvedere BlvdFort Drum, NY 13602 · (315) 772-2778

Phone(315) 772-2778

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1629161856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-085195

Definition

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.

USA MEDDAC, Fort Drum, NY 13602

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Other Identifiers 1

Medicaid036085195IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAILEY MOORHEAD BEARDSLEY DMD

Dentist (Oral and Maxillofacial Surgery)

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-8891

MR. JEFFREY MORGAN COX LICSW

Social Worker

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FT DRUM, NY 13602

Jefferson County (315) 921-9000

MR. KENNETH HERBERT THOMAS JR. CASAC, LPC

Counselor (Addiction (Substance Use Disorder))

USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-8801

PANITA PIPATNAWIN FNP-C

Nurse Practitioner (Family)

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 774-5356

JAMES KIM M.D.

Internal Medicine

USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-2964

DR. BRIDGET MATSAS MD

Emergency Medicine

USA MEDDAC, 11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602

Jefferson County (315) 772-0215

JUSTIN DAVID RADO PHYSICIAN ASSISTANT

Physician Assistant

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-6214

ANGELA MATTHEWS LCSW

Social Worker

USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 774-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Edwards's NPI number?

The NPI number for William Edwards is 1629161856. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is William Edwards located?

William Edwards practices at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-2778.

What is William Edwards's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for William Edwards was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.