Provider Demographics
NPI:1740277607
Name:NORTICK, ADAM ROSS (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:ROSS
Last Name:NORTICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:732 MONTGOMERY HWY # 304
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1800
Mailing Address - Country:US
Mailing Address - Phone:205-603-6820
Mailing Address - Fax:205-533-9941
Practice Address - Street 1:339 WALKER CHAPEL PLZ STE 115
Practice Address - Street 2:
Practice Address - City:FULTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35068-3402
Practice Address - Country:US
Practice Address - Phone:205-603-6820
Practice Address - Fax:205-533-9941
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL16195207PE0005X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL16195OtherMEDICAL LICENSE
AL16195OtherMEDICAL LICENSE