MEDICARE: JARED M ADAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	TEP5937	NE
2	207Q00000X	Family Medicine Physician	28056	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184889446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED M ADAMS MD

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	800-480-5243
Fax Number	:	800-928-7449

Provider Business Practice Location Address
First Line	:	12301 S WESTERN AVE STE A1
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6085
Country	:	US
Telephone Number	:	405-254-7529
Fax Number	:	405-254-7587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	08/04/2023

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