Provider Demographics
NPI:1265580948
Name:ROCCO J. ADAMS, MD, LLC
Entity type:Organization
Organization Name:ROCCO J. ADAMS, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARIA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:412-400-0236
Mailing Address - Street 1:115 PLEASANTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3135
Mailing Address - Country:US
Mailing Address - Phone:412-400-0236
Mailing Address - Fax:724-942-6344
Practice Address - Street 1:3000 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-2469
Practice Address - Country:US
Practice Address - Phone:412-884-8233
Practice Address - Fax:412-884-8379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032104E261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001037589-0001Medicaid
PA001037589-0001Medicaid
PA075653Medicare ID - Type Unspecified