Active NPI
Mary B Adam, M.D., PHD
- Pediatrics Physician
- Nogales, AZ
National Provider Identifier
1508191016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17959
- Practice address
- 1852 N Mastick Way
Nogales, AZ 85621-1063 - Phone
- (520) 281-1550
- Fax
- (520) 281-2335
- NPI assigned
- Oct 16, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17959 | AZ | Primary |
Addresses
Primary practice location
1852 N Mastick Way
Nogales, AZ 85621-1063
Mailing address
1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Africa Inland Church Kijabe Hospital | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- NPI 1134853823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1508191016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1852 N MASTICK WAY",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211063",
"telephone_number": "520-281-1550",
"fax_number": "520-281-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1852 N MASTICK WAY",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211063",
"telephone_number": "520-281-1550",
"fax_number": "520-281-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAM",
"first_name": "MARY",
"middle_name": "B",
"credential": "M.D., PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "17959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nogales, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.