Provider Demographics
NPI:1548248776
Name:EDWARDS, JOSEPH TERMINEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TERMINEL
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:EDWARD
Other - Last Name:TERMINEL
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1081 N CHINA LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1011 N CHINA LAKE BLVD
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3130
Practice Address - Country:US
Practice Address - Phone:760-499-3640
Practice Address - Fax:760-499-7229
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ031815OtherMEDICARE
AZ031916OtherMEDICARE
AZ176835Medicaid
ZFQ31815OtherMEDICARE
AZZ165308OtherMEDICARE
031881OtherMEDICARE
Z127698Medicare PIN