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NPI Code Detail

MEDICARE: LUCAS SCOT ADAMS DPM

MEDICARE: LUCAS SCOT ADAMS DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist36.004189OH

Other Identifiers

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

General Provider Information

NPI Number : 1710621958
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS SCOT ADAMS DPM
Provider Business Mailing Address
First Line : 609 FORD ST
Second Line :
City : MAUMEE
State : OH
Zip : 43537-1947
Country : US
Telephone Number : 419-893-5539
Fax Number : 419-893-6853
Provider Business Practice Location Address
First Line : 609 FORD ST
Second Line :
City : MAUMEE
State : OH
Zip : 43537-1947
Country : US
Telephone Number : 419-893-5539
Fax Number : 419-893-6853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2022
Last Update Date : 06/01/2026

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1679572796 — ANDREW BURNHAM CLARK DPM
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609 FORD ST
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1417956483 — JOHN SHALLEY CARROLL DPM
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609 FORD ST
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1588664296 — PODIATRIC ASSOCIATES OF NORTHWEST OHIO, LLC
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609 FORD ST
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Practice Fax: 419-893-6853

Directions to “ LUCAS SCOT ADAMS DPM” Practice Location

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