Provider Demographics
NPI:1235190489
Name:ADAMS, ARTHUR F (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:F
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3053 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1720
Mailing Address - Country:US
Mailing Address - Phone:423-301-6567
Mailing Address - Fax:423-573-9672
Practice Address - Street 1:1420 TUSCULUM BLVD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4279
Practice Address - Country:US
Practice Address - Phone:423-638-7057
Practice Address - Fax:423-638-7057
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN178342085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3001004Medicaid
TN3042371Medicaid
TN4022326OtherBC/BS OF TN
KY64796337Medicaid
TN300125491OtherRR MCARE
TN3001004Medicare PIN
TND32896Medicare UPIN
TN3001004Medicaid
TN3042378Medicare PIN