Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jean Simon Joel Edouard, PA

Individual provider Family Medicine Physician · NPI 1619526217

Mr. Jean Simon Joel Edouard, PA is a Physician Assistant in Peoria, Arizona. Qualified in 2021, 5 years ago. Practices with Angels Valley Community Healthcare Center PLLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, New Jersey, Puerto Rico and Rhode Island and 1 more.

Years since qualifying
5
Licensed in
AZ, NJ, PR, RI, WI
In the registry since
2019
Specialties on file
6
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6739 W Cactus Rd
Peoria, AZ 85381-5311
Phone: (520) 527-8038
Fax: (623) 889-0814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5871 Sw 36th Ct Apt 201, Davie, FL 33314-2768 — (954) 655-2249
  • 22 Parsonage St # 184, Providence, RI 02903-4758 — (401) 678-8644

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8276 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence NJDCATEMP-000588 (NJ)
Surgical Assistant Taxonomy 246ZC0007X · Licence 21-308 (WI)
Physician Assistant Taxonomy 363A00000X · Licence PA01253 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 000430-P.A (PR)
Physician Assistant Taxonomy 363A00000X · Licence NJDCATEMP-00291 (NJ)

Record details

NPI number1619526217
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 5, 2019
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Angels Valley Community Healthcare Center Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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