Active NPI
Marc E Adams, MD
- Family Medicine Physician
- Shelby, MT
National Provider Identifier
1265449482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12309
- Practice address
- 670 Park Ave
Shelby, MT 59474-1663 - Phone
- (406) 434-3110
- Fax
- (406) 434-3143
- NPI assigned
- Aug 1, 2006
- Last updated
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12309 | MT | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12309 | Other | MT | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Past | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Bullhead, SD
- NPI 1497347579
-
dba Sanford Virtual Health Services
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1265449482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PARK AVE",
"city": "SHELBY",
"state": "MT",
"postal_code": "594741663",
"telephone_number": "406-434-3110",
"fax_number": "406-434-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PARK AVE",
"city": "SHELBY",
"state": "MT",
"postal_code": "594741663",
"telephone_number": "406-434-3110",
"fax_number": "406-434-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "MARC",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "12309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "12309",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.