George Adam, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

36061 Issued in MN

Practice address

4500 Park Glen Road
Suite 160
Saint Louis Park, MN 55416-4888

Phone

(952) 767-7771

Fax

(952) 767-7774

NPI assigned

Nov 20, 2006

Last updated

Apr 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Neurology Specialists, LLC

  • Neurology Physician
  • St Louis Park, MN
  • NPI 1659494961
  NPD (past)
• Noran Neurological Clinic P.a.

  • Specialist
  • Bloomington, MN
  • NPI 1710098306
  NPD (past)
• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1669298055
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1386718765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN ROAD",
            "address_2": "SUITE 160",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554164888",
            "telephone_number": "952-767-7771",
            "fax_number": "952-767-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN ROAD",
            "address_2": "SUITE 160",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554164888",
            "telephone_number": "952-767-7771",
            "fax_number": "952-767-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "36061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227225300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faruk Said Abuzzahab Sr., M.D., PHD
• Sidoline Achemenkong
• Acqua Chiropractic, LLC
• Act Psychological Services, PLLC
• Shannon Jeanette Acuna, LICSW
• Nawal Abdulahi Adamali
• Rachel Rene Adams
• Roderick Adams, MD
• Amina Adan
• Ophelia Vanessa Addo, LPCC

• Neurology Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Neurology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.

Verify at the official NPI Registry.