Provider Demographics
NPI:1497754071
Name:ADAMS, CHERYL T (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:T
Last Name:ADAMS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2500 W BROADWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40211-1081
Mailing Address - Country:US
Mailing Address - Phone:502-774-6100
Mailing Address - Fax:502-774-6135
Practice Address - Street 1:2500 W BROADWAY
Practice Address - Street 2:SUITE 200 ATTN: CYPRESS MEDICAL ASSOCIATES PSC
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211-1081
Practice Address - Country:US
Practice Address - Phone:502-774-6100
Practice Address - Fax:502-774-6135
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2013-02-14
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Provider Licenses
StateLicense IDTaxonomies
KY28421208000000X
IN01039507208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY640743Medicaid
C36535Medicare UPIN