Provider Demographics
NPI:1952391609
Name:ADEY, LAUREN P (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:P
Last Name:ADEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:F
Other - Last Name:PARKHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:690 MINOT AVE
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-3922
Mailing Address - Country:US
Mailing Address - Phone:207-783-1328
Mailing Address - Fax:207-795-0260
Practice Address - Street 1:690 MINOT AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-3922
Practice Address - Country:US
Practice Address - Phone:207-783-1328
Practice Address - Fax:207-795-0260
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD16769207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MM0716OtherMEDICARE CLINIC FACILITY
6512839OtherCIGNA
061428OtherANTHEM
100294000OtherUSPS WC
ME116640000Medicaid
201017OtherMEDICARE ASC FACILITY
1044480OtherAETNA
0378600001OtherDMERC
010416156OtherTRAVELERS/CORE/MEDNET
AA39752OtherHARVARD
AA39752OtherHARVARD