Organization Active NPI

Family Health and Sports Medicine PC

  • Family Medicine Physician
  • Norfolk, NE
National Provider Identifier
1508985474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17698 Issued in NE
Legal business name
FAMILY HEALTH AND SPORTS MEDICINE PC
Practice address
301 N 27TH St
Suite 11
Norfolk, NE 68701-4457
Phone
(402) 844-8167
Fax
(402) 844-8168
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael A Adams, M.D.
Title
President
Phone
(402) 844-8167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 17698 NE Primary

Addresses

Primary practice location

301 N 27TH St
Suite 11
Norfolk, NE 68701-4457

Mailing address

301 N 27TH St
Suite 11
Norfolk, NE 68701-4457
Phone (402) 844-8167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508985474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 11",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8167",
            "fax_number": "402-844-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 11",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8167",
            "fax_number": "402-844-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH AND SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-844-8167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.