Provider Demographics
NPI:1972593796
Name:ADAMS, JOHN H (MS, CCC-A)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:H
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15721 NEW HAMPSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4176
Mailing Address - Country:US
Mailing Address - Phone:239-481-2088
Mailing Address - Fax:239-481-2095
Practice Address - Street 1:15721 NEW HAMPSHIRE CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4176
Practice Address - Country:US
Practice Address - Phone:239-481-2088
Practice Address - Fax:239-481-2095
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY-274231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS0637OtherBLUE CROSS BLUE SHIELD
FLS0718Medicare ID - Type Unspecified