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1831177120

NPI Code Detail

MEDICARE: DR. PETER ADAMS M.D.

MEDICARE: DR. PETER 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
1	208D00000X	General Practice Physician	34285	KY
2	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	34285	KY
3	2080A0000X	Pediatric Adolescent Medicine Physician	34285	KY
4	208000000X	Pediatrics Physician	35075474	OH
5	208000000X	Pediatrics Physician	34285	KY
6	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	01094559A	IN
7	2080A0000X	Pediatric Adolescent Medicine Physician	35075474A	OH

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	:	1831177120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER ADAMS M.D.

Provider Business Mailing Address
First Line	:	3220 DIXIE HWY
Second Line	:
City	:	ERLANGER
State	:	KY
Zip	:	41018-1884
Country	:	US
Telephone Number	:	606-393-6695
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 CHARLESTOWN PIKE
Second Line	:
City	:	CHARLESTOWN
State	:	IN
Zip	:	47111-9623
Country	:	US
Telephone Number	:	812-669-0462
Fax Number	:

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	12/15/2025

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Directions to “ DR. PETER ADAMS M.D.” Practice Location

Language	Start Address	Practice Location

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