Adam J Box, PAC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

PA810 Issued in ME

Practice address

900 Nicollet Mall
Target Clinic
Minneapolis, MN 55403-2530

Phone

(612) 338-0085

Fax

(612) 333-1026

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adam.box@ghuc.eclinicaldirectplus.com

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.

• Regents of the University of Minnesota

  • Student Health Clinic/Center
  • Minneapolis, MN
  • NPI 1013137355
  NPD (past)
• Clinical Practice Management, P.C.

  • Family Medicine Physician
  • McHenry, IL
  • NPI 1588760458
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609866797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 THOMAS AVE S",
            "address_2": "APARTMENT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101236",
            "telephone_number": "612-590-4866",
            "fax_number": "612-333-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NICOLLET MALL",
            "address_2": "TARGET CLINIC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032530",
            "telephone_number": "612-338-0085",
            "fax_number": "612-333-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "ME",
            "license": "PA810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403180099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Anne Bowler, DO
• Walter Ray Bowles, DDS
• Paul Richard Bowlin, MD
• Christopher Scott Bowron, MD
• Craig L. Bowron, MD
• Rochelle Pietrini Boyce, RN, IBCLC
• Caitlin Boyd Patterson
• Hallie Boyd
• Joel Boyd, M.D.
• Carole Elizabeth Boyer, PT

• Emergency Medical Services (Emergency Medicine) Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.