Healthcare Provider Details

I. General information

NPI: 1386662708
Provider Name (Legal Business Name): SAMUEL ADKINS III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 MIDDLE ST
PITTSBURGH PA
15212-4915
US

IV. Provider business mailing address

816 MIDDLE ST
PITTSBURGH PA
15212-4915
US

V. Phone/Fax

Practice location:
  • Phone: 412-321-4001
  • Fax: 412-321-4063
Mailing address:
  • Phone: 412-321-4001
  • Fax: 412-321-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD031569E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL6249
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number28935
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28935
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD031569E
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number28935
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: