Mark S. Adams, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22682 Issued in KY

Practice address

1406 W 5TH St
Suite 201
London, KY 40741-1688

Phone

(606) 864-4137

Fax

(606) 878-6386

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in KY

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689601387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W 5TH ST",
            "address_2": "SUITE 201",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411688",
            "telephone_number": "606-864-4137",
            "fax_number": "606-878-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W 5TH ST",
            "address_2": "SUITE 201",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411688",
            "telephone_number": "606-864-4137",
            "fax_number": "606-878-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARK",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "22682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64226822",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Silver Lining, LLC
• Oluwole John Abe, MD
• Lisa Abner, ARNP
• Absolute Case Management
• James Derrick Adams, M.D.
• Advamed Health LLC
• Advanced Medical LLC
• Advanced Vascular Institute
• Mirza W Ahmed, MD
• Air Evac EMS, Inc.

• All providers in London, KY
• Internal Medicine Physician in Kentucky

• 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.
• 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.