Provider Demographics
NPI:1639110950
Name:ADAMS-SLONE, RITA D (DO)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:D
Last Name:ADAMS-SLONE
Suffix:
Gender:F
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:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-1595
Mailing Address - Country:US
Mailing Address - Phone:606-408-6200
Mailing Address - Fax:606-408-6612
Practice Address - Street 1:2025 CARTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7731
Practice Address - Country:US
Practice Address - Phone:606-408-4900
Practice Address - Fax:606-408-6643
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003972207Q00000X
KY02151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64089733Medicaid
OH0595155Medicaid
KY0586621Medicare ID - Type Unspecified
KY3400339Medicare ID - Type Unspecified
KY0632945Medicare ID - Type Unspecified
KY0264254Medicare ID - Type Unspecified
P00207053Medicare ID - Type UnspecifiedRAIL ROAD MEDICARE
E00697Medicare UPIN
OH0595155Medicaid
KY0307650Medicare ID - Type Unspecified
KY64089733Medicaid