Provider Demographics
NPI:1437129244
Name:ADAMETZ, JAMES ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:ADAMETZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5201 NORTHSHORE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-5312
Mailing Address - Country:US
Mailing Address - Phone:501-225-0880
Mailing Address - Fax:501-225-5694
Practice Address - Street 1:5201 NORTHSHORE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-5312
Practice Address - Country:US
Practice Address - Phone:501-225-0880
Practice Address - Fax:501-225-5694
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2010-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC6154207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR115626001Medicaid
ARD87424Medicare UPIN
AR115626001Medicaid