Provider Demographics
NPI:1487603601
Name:ADAMS, JOHN E II (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:ADAMS
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:480 S JEFFERSON AVE
Mailing Address - Street 2:STE 500
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-4137
Mailing Address - Country:US
Mailing Address - Phone:614-873-3434
Mailing Address - Fax:937-644-6989
Practice Address - Street 1:480 S JEFFERSON AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-4137
Practice Address - Country:US
Practice Address - Phone:614-873-3434
Practice Address - Fax:614-873-4953
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34-00-3883208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0601549Medicaid
OHA82251Medicare UPIN
OH0601549Medicaid