Marc E Adams, MD
Individual provider Active NPI Family Medicine Physician · Shelby, MT
NPI 1265449482 · NPPES record last updated May 12, 2010
Key facts
- NPI
- 1265449482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12309 (MT)
- Practice address
- 670 Park Ave
Shelby, MT 59474-1663 - Phone
- (406) 434-3110
- Fax
- (406) 434-3143
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients | |
| Sanford Clinic | Past | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12309 | MT | Yes |
Addresses
Primary practice location
670 Park Ave
Shelby, MT 59474-1663
Mailing address
670 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12309 | Other | MT | STATE LICENSE |
Other providers in Shelby, MT
All providers in Shelby, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.