Active NPI
Jerry Adams, M.D.
- Family Medicine Physician
- Lavale, MD
National Provider Identifier
1710088265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D39811
- Practice address
- 957 National Hwy
Lavale, MD 21502-7356 - Phone
- (301) 729-9475
- Fax
- (301) 729-9474
- NPI assigned
- Sep 26, 2006
- Last updated
- May 8, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D39811 | MD | Primary |
Addresses
Primary practice location
957 National Hwy
Lavale, MD 21502-7356
Mailing address
957 National Hwy
Lavale, MD 21502-7356
Phone (301) 729-9475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080119966 | Other | MD | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Emergency Medical Group PA | Past | Accepting new patients | |
| Cumberland Emergency Medical Group, PA | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1275639932
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1417132481
Family Medicine
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1710088265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027356",
"telephone_number": "301-729-9475",
"fax_number": "301-729-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 NATIONAL HWY",
"city": "LAVALE",
"state": "MD",
"postal_code": "215027356",
"telephone_number": "301-729-9475",
"fax_number": "301-729-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JERRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D39811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080119966",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lavale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.