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NPI Code Detail

MEDICARE: SAMUEL ADAMS M.D.

MEDICARE: SAMUEL ADAMS M.D.
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
1207Q00000XFamily Medicine Physician20454WV
2207Q00000XFamily Medicine PhysicianME139866FL
3207Q00000XFamily Medicine Physician37206KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225018104
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL ADAMS M.D.
Provider Business Mailing Address
First Line : PO BOX 151
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0151
Country : US
Telephone Number : 606-408-4000
Fax Number : 606-408-3841
Provider Business Practice Location Address
First Line : 2201 LEXINGTON AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2843
Country : US
Telephone Number : 606-408-4000
Fax Number : 606-408-3841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 05/31/2019

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