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DR. CHARLES DOUGLAS EDMONDSON M.D.
NPI 1669589040
Specialist in El Dorado, AR

Active since August 23, 2006
700 W GROVE ST, EL DORADO, AR 71730(870) 862-1577 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Douglas Edmondson M.d. NPPES

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

DR. CHARLES DOUGLAS EDMONDSON M.D. (NPI 1669589040) is an individual specialist in El Dorado, Arkansas, licensed in Arkansas (C5187) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1669589040
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CHARLES DOUGLAS EDMONDSONCredential: M.D.
Location Address700 W GROVE STEl Dorado, AR 71730-4416
Mailing Address611 Thompson Ave, P.o. Box 506El Dorado, AR 71730-4557 · (870) 862-1577 · Fax (870) 862-5916
Phone(870) 862-1577
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateOctober 15, 2007
✔ NPI 1669589040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · C5187
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
700 W GROVE ST, El Dorado, AR 71730
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Other Identifiers 6

Medicare PIN5K900C070AR
Medicare UPIND86190AR
Other710813069AR · Fed. Tax Id #
OtherC5187AR · Medical St. License #
Medicaid134936001AR
Other5C070AR · Grp's Mcare Prov.#

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.

HCC OF EL DORADO LLC
Hospitalist
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 863-2000
KENNETH C PRATHER MD
General Practice
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 863-2000
BYRON L. EYRE MD
Anesthesiology
700 W GROVE ST
EL DORADO, AR 71730
Union County (954) 838-2371
BYRON D. WILLIAMS MD
Anesthesiology
700 W GROVE ST
EL DORADO, AR 71730
Union County (954) 838-2371
JACKIE HAKEEM HAWKINS
Nurse Anesthetist, Certified Registered
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 864-3390
ELDORADO HEART CLINIC
Internal Medicine (Interventional Cardiology)
700 W GROVE ST
EL DORADO, AR 71730
Union County (347) 425-6518
NES ARKANSAS, INC.
Emergency Medicine
700 W GROVE ST
EL DORADO, AR 71730
Union County (870) 863-2200
LIVIU M. ANCA MD
Anesthesiology
700 W GROVE ST
EL DORADO, AR 71730
Union County (954) 838-2371

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 Charles Edmondson's NPI number?

The NPI number for Charles Edmondson is 1669589040. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Charles Edmondson located?

Charles Edmondson practices at 700 W Grove St, El Dorado, AR 71730. The listed phone number is (870) 862-1577.

What is Charles Edmondson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles Edmondson was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.