Healthcare Provider Details

I. General information

NPI: 1740594886
Provider Name (Legal Business Name): PHILLIP SCOTT ADAMS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2010
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 TERRACE ST
PITTSBURGH PA
15213-2500
US

IV. Provider business mailing address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-2994
  • Fax: 412-647-2993
Mailing address:
  • Phone: 412-864-8454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberOS17199
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberOS017014
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: