Provider Demographics
NPI:1558305052
Name:ADAMS, JAMES HUGHES (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HUGHES
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-2477
Mailing Address - Country:US
Mailing Address - Phone:660-665-8008
Mailing Address - Fax:660-665-4534
Practice Address - Street 1:612 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-2477
Practice Address - Country:US
Practice Address - Phone:660-665-8008
Practice Address - Fax:660-665-4534
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1148652085B0100X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO114865OtherMO MEDICAL LICENSE
MO243774528Medicaid
MOMA3411Medicare PIN
MOG58160Medicare UPIN