NPIMap

Marcia Jennifer Adams, M.D.

Individual provider Active NPI Family Medicine Physician · Newport, OR

NPI 1063469484 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1063469484
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD18232 (OR)
Practice address
36 SW Nye St
Newport, OR 97365-3821
Phone
(541) 265-6611
Fax
(541) 574-6252
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD18232ORMDFamily Medicine Physician
18232ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vinod K Vinjamuri MD LLC Past
since May 15, 2003		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD18232 OR Yes

Addresses

Primary practice location

36 SW Nye St
Newport, OR 97365-3821

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-6611

Other providers in Newport, OR

All providers in Newport, OR · Family Medicine Physician in Oregon

Sources for this page

Verify at the official NPI Registry.