Provider Demographics
NPI:1003978040
Name:ADAMS, MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8388 COURT AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4514
Mailing Address - Country:US
Mailing Address - Phone:410-313-8119
Mailing Address - Fax:
Practice Address - Street 1:8388 COURT AVE STE 203
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4514
Practice Address - Country:US
Practice Address - Phone:410-313-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00344522084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDPVPB124381OtherAPS HEALTHCARE
MD036536OtherVALUE OPTIONS
MDT541-0048OtherCAREFIRST BCBS
MD271768-000OtherMAGELLAN
MD217924OtherKAISER
MD067891100Medicaid
2846675000OtherAMERIHEALTH PPO
MD127371YYDMedicare PIN