Individual provider Active NPI

Angela Kaye Adamson, DO, MA

  • Family Medicine Physician
  • Coldwater, MI
National Provider Identifier
1114906823
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013510 Issued in MI
Practice address
235 E Chicago St
Suite 2
Coldwater, MI 49036-1783
Phone
(517) 278-6411
Fax
(517) 278-4331
NPI assigned
Jan 11, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013510 MI Primary

Addresses

Primary practice location

235 E Chicago St
Suite 2
Coldwater, MI 49036-1783

Mailing address

235 E Chicago St
Suite 2
Coldwater, MI 49036-1783
Phone (517) 278-6411

Other identifiers 1

IdentifierTypeStateIssuer
4198064MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000208 MI Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9335037530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Michigan Inc Family Medicine CurrentSince Feb 13, 2012 Accepting new patients
Promed Healthcare CurrentSince Feb 13, 2012 Accepting new patients
Beacon Medical Group Michigan Inc Family Medicine Current Accepting new patients

Locations

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1114906823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E CHICAGO ST",
            "address_2": "SUITE 2",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361783",
            "telephone_number": "517-278-6411",
            "fax_number": "517-278-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E CHICAGO ST",
            "address_2": "SUITE 2",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361783",
            "telephone_number": "517-278-6411",
            "fax_number": "517-278-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "ANGELA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DO, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4198064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.