Julie Therese Adams, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Chandler, AZ
NPI 1285607333 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1285607333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 3963 (AZ)
- Practice address
- 655 S Dobson Rd
Ste 101
Chandler, AZ 85224-5668 - Phone
- (480) 459-2555
- Fax
- (480) 378-3131
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lilac Healthcare LLC
Practice addresses (Care Compare)
655 S Dobson Rd
Suite A101
Chandler, AZ 85224-5667
Phone (480) 459-2555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040526001055 | AZ | Practitioner - Obstetrics/Gynecology | 4183605041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3963 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilac Healthcare LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Dignity Community Care | Past | Accepting new patients | |
| Arizona OB GYN Affiliates PC | Past | Accepting new patients | |
| Momdoc, LLC | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
655 S Dobson Rd
Ste 101
Chandler, AZ 85224
Phone (480) 459-2555
655 S Dobson Rd
Ste A101
Chandler, AZ 85224
Phone (480) 855-5900
1489 S Higley Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 457-8800
Interoperability endpoints
- julie.adams@lilac.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3963 | AZ | Yes |
Addresses
Primary practice location
655 S Dobson Rd
Ste 101
Chandler, AZ 85224-5668
Mailing address
655 S Dobson Rd
Ste 101
Chandler, AZ 85224-5668
Phone (480) 459-2555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872201 | Medicaid | AZ |
Other providers in Chandler, AZ
- Ada Psychiatry
- Taralyn Blaine Adakai Fotu
- Jordyn Mary Adamo
- Ekaterina Maria Adamopoulos
- Heather N Adams
- Krystal Anne Adams
- Latoya Danielle Adams
- Matthew Adams
- Ronda Adams
- Robin S Adamson
All providers in Chandler, AZ · Obstetrics & Gynecology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.