NPIMap

Organization Active NPI

Adams Family Medical Center, Inc.

  • General Practice Physician
  • Plain City, OH
National Provider Identifier
1912965674
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34-00-3883 Issued in OH
Legal business name
ADAMS FAMILY MEDICAL CENTER, INC.
Practice address
480 S Jefferson Ave
Suite 500
Plain City, OH 43064-4137
Phone
(614) 873-3434
Fax
(614) 873-4953
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. John E. Adams II, D.O.NPI 1487603601
Title
Owner
Phone
(614) 873-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 34-00-3883 OH Primary

Addresses

Primary practice location

480 S Jefferson Ave
Suite 500
Plain City, OH 43064-4137

Mailing address

200 Bradenton Ave
Dublin, OH 43017-7515
Phone (614) 793-1980

Other identifiers 1

IdentifierTypeStateIssuer
0601521MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000402 OH Part B Supplier - Clinic/Group Practice 1658327655 Receives reassigned benefits from 1 practitioner
Practice locations: Plain City, OH

National Provider Directory

National Provider Directory

Locations

480 S Jefferson Ave
Ste 500
Plain City, OH 43064
Phone (614) 873-3434

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1912965674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-793-1980",
            "fax_number": "614-793-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S JEFFERSON AVE",
            "address_2": "SUITE 500",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644137",
            "telephone_number": "614-873-3434",
            "fax_number": "614-873-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS FAMILY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-873-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "34-00-3883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.