Active NPI
Michael David Adelman, D.O.
- Colon & Rectal Surgery Physician
- Lewisburg, WV
National Provider Identifier
1205093382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 1971
- Practice address
- 400 N Lee St
Lewisburg, WV 24901-1128 - Phone
- (304) 647-6269
- Fax
- (304) 793-6810
- NPI assigned
- May 17, 2008
- Last updated
- May 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 1971 | WV | Primary |
Addresses
Primary practice location
400 N Lee St
Lewisburg, WV 24901-1128
Mailing address
400 N Lee St
Lewisburg, WV 24901-1128
Phone (304) 647-6269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1971 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210982400000",
"number": "1205093382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N LEE ST",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011128",
"telephone_number": "304-647-6269",
"fax_number": "304-793-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N LEE ST",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011128",
"telephone_number": "304-647-6269",
"fax_number": "304-793-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELMAN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-17",
"last_updated": "2008-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "WV",
"license": "1971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.