Jessie Adame, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

H9743 Issued in TX

Practice address

3007 Woodland Hills Dr # 123
Kingwood, TX 77339-1403

Phone

(281) 359-1953

Fax

(281) 657-6834

NPI assigned

Jun 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1922002492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 WOODLAND HILLS DR # 123",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391403",
            "telephone_number": "281-359-1953",
            "fax_number": "281-657-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 WOODLAND HILLS DR # 123",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391403",
            "telephone_number": "281-359-1953",
            "fax_number": "281-657-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAME",
        "first_name": "JESSIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H9743",
            "primary": true
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TX",
            "license": "H9743",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "TX",
            "license": "H9743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220032975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Acosta, O.D.
• Action Chiropractic, Physical Medicine and Rehabilitation, PA
• Kallie Acton
• Acts of Grace (Right at Home-Kingwood)
• Adam Divincenzo DMD PA (Kingwood Perfect Smiles)
• Mariana Adame
• Iaan Adams
• Adebayo Adebowale, PMHNP-BC
• Jeanette Olubukola Adereti, MD
• Angela Asiedua Adomako, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.