Jefferey Douglas Adair MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD.020437 Issued in LA

Legal business name

JEFFEREY DOUGLAS ADAIR MD

Practice address

8860 Fern Ave.
Suite 120
Shreveport, LA 71105

Phone

(318) 841-9999

Fax

(318) 841-9996

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Mackenzie Hahn

Title

Ncpdp Coordinator

Phone

(855) 296-3757

Specialties & licenses 1

Addresses

Other names 1

• Arklatex Spine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jefferey D Adair, MD

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1780665828
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1245710920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIRCLE",
            "address_2": "EAST BUILDING STE 5",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "855-295-3757",
            "fax_number": "866-740-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 FERN AVE.",
            "address_2": "SUITE 120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-841-9999",
            "fax_number": "318-841-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFEREY DOUGLAS ADAIR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "855-296-3757"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "LA",
            "license": "MD.020437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arklatex Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JC Express Transportation
• JCT Medical Consulting
• Carlo Jean Baptiste
• Jeanne Street, PHD, Appc
• Elizabeth Jee
• Edwin Jefferson
• Kendra C Jefferson
• Maurice Jamal Jefferson Sr.
• Sharon Denise Jefferson, MSW
• Tongala Renee Jefferson

• Non-Pharmacy Dispensing Site in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-Pharmacy Dispensing Site in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.