Mid State Medical Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MID STATE MEDICAL INC

Practice address

601 N Front St
Philipsburg, PA 16866-2303

Phone

(814) 342-7399

Fax

(814) 342-5470

NPI assigned

Jan 25, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Glen Adams, MDNPI 1740210178

Title

President Owner

Phone

(814) 342-7399

Specialties & licenses 3

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Glen Adams, M.D.

  • Internal Medicine Physician
  • Philipsburg, PA
  • NPI 1740210178
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881740918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662303",
            "telephone_number": "814-342-7399",
            "fax_number": "814-342-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662303",
            "telephone_number": "814-342-7399",
            "fax_number": "814-342-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID STATE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "814-342-7399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014408560001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1775451",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BLUE CROSS",
            "identifier": "03168000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE MANAG",
            "identifier": "358539",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1546735",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D McCliment, PA-C
• Shawna McCliment
• Becky Jo McCord, CRNP-FNP-BC
• Nicole Merrick
• Melissa Michael, CRNP
• Mid-State Medical Services, Inc
• Akinola Mobolaji, MSN, APRN, PMHNP-BC
• Denise Michelle Moore, LPC
• Hannah Morgan, PHARMD
• Moshannon Valley EMS

• Cardiovascular Disease Physician in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.