Provider Demographics
NPI:1740266337
Name:ADAMS, CHRISTOPHER R (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1285 CREEKSIDE BLVD E
Mailing Address - Street 2:#102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109
Mailing Address - Country:US
Mailing Address - Phone:239-624-0310
Mailing Address - Fax:239-624-0311
Practice Address - Street 1:1285 CREEKSIDE BLVD E
Practice Address - Street 2:#102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109
Practice Address - Country:US
Practice Address - Phone:239-624-0310
Practice Address - Fax:239-624-0311
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME98294207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95199OtherBCBS
FL002080000Medicaid
FLAE394WOtherMEDICARE
FLAE394WOtherMEDICARE