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NPI Code Detail

MEDICARE: DR. JASON D. ADAMS M.D.

MEDICARE: DR. JASON D. 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
1207V00000XObstetrics & Gynecology Physician14302RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2010822465OTHERLATAX ID #

General Provider Information

NPI Number : 1942205174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON D. ADAMS M.D.
Provider Business Mailing Address
First Line : 1943A S. BURNSIDE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4632
Country : US
Telephone Number : 225-647-2294
Fax Number : 225-647-2295
Provider Business Practice Location Address
First Line : 1943A SOUTH BURNSIDE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4632
Country : US
Telephone Number : 225-647-2294
Fax Number : 225-647-2295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 04/01/2014

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