Provider Demographics
NPI:1417209792
Name:ADAMS PLASTIC SURGERY, PC
Entity Type:Organization
Organization Name:ADAMS PLASTIC SURGERY, PC
Other - Org Name:JASON P ADAMS, DO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:P
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:505-675-7070
Mailing Address - Street 1:2700 FARMINGTON AVE BLDG I-A
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-4570
Mailing Address - Country:US
Mailing Address - Phone:505-675-7070
Mailing Address - Fax:505-675-2757
Practice Address - Street 1:2700 FARMIGNTON AVE
Practice Address - Street 2:BUILDING I-A
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401
Practice Address - Country:US
Practice Address - Phone:505-675-7070
Practice Address - Fax:505-675-2757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty