Provider Demographics
NPI:1346388667
Name:SKY, ADAM J (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:SKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5000 CEDAR PLAZA PKWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3854
Mailing Address - Country:US
Mailing Address - Phone:314-843-4333
Mailing Address - Fax:314-843-4856
Practice Address - Street 1:1201 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1701
Practice Address - Country:US
Practice Address - Phone:314-647-4488
Practice Address - Fax:314-647-6305
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2012-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR8H362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202577045Medicaid
MO001013303Medicare ID - Type Unspecified
MO202577045Medicaid