DR. CHARLES PULLIAM ADAMS JR. (NPI# 1710917950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710917950 |
Entity Type | Individual |
Full Name | DR. CHARLES PULLIAM ADAMS JR. |
Credential | M.D |
Practice Address |
1034 Riverside Ave Jacksonville FL 32204-4123 |
Practice Telephone | 9043542114 |
Practice Fax Number | 9043542122 |
Mailing Telephone | 9043542114 |
Mailing Fax Number | 9043542122 |
Enumeration Date | 2006-07-04 |
Last Update Date | 2015-07-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | ME0045165 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00963608A | 05 | |
FL | 041611800 | 05 | |
FL | BCBS | 15929 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932662038 | Charles David Adams Jr. | Community Health Worker | 16 Porcher Rd, Bluffton, SC 29909-4138 | 2019-04-08 |
1689130957 | Charles Rex Adams | Acupuncturist | 5708 Venture Ct, Kalamazoo, MI 49009-2857 | 2019-02-12 |
1164842977 | Charles Adams Jr. | Counselor | 3008 N Hartford Ave, Tulsa, OK 74106-2424 | 2014-04-18 |
1114280161 | Charles David Adams | Pharmacist | 2585 Jacaranda Ln, Los Osos, CA 93402-4617 | 2012-06-22 |
1073707949 | Charles R Adams | Psychiatry & Neurology | 109 N 15th St, Suite 14, Norfolk, NE 68701-3666 | 2007-09-04 |
1811037005 | Charles D Adams | Social Worker | 710 Perryville Rd, Harrodsburg, KY 40330 | 2007-02-07 |
1982767109 | Charles Gregory Adams | Dentist | 185 Pat Haralson Memorial Dr, Blairsville, GA 30512-3008 | 2006-12-19 |
1043240906 | Charles Savage Adams | Optometrist | 1911 Benton Rd, Ste C, Bossier City, LA 71111 | 2006-07-04 |
1992732168 | Charles D Adams | Family Medicine | 1813 Sumner St, Aberdeen, WA 98520 | 2006-06-26 |
1437192465 | Charles C Adams | Internal Medicine | 4085 Cloud Springs Rd, Ringgold, GA 30736-8411 | 2006-06-14 |
Street Address |
1034 RIVERSIDE AVE |
City | JACKSONVILLE |
State | FL |
Zip Code | 32204-4123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154805760 | Riverside Eye and Laser Specialists, P.a. | Specialist | 1034 Riverside Ave, Jacksonville, FL 32204-4123 | 2018-09-19 |
1760771851 | Brittany Ransom Agee | Ophthalmology | 1034 Riverside Ave, Jacksonville, FL 32204-4123 | 2011-03-30 |
1871812016 | Charles P. Adams Jr., Md Pa | Ophthalmology | 1034 Riverside Ave, Jacksonville, FL 32204-4123 | 2010-05-27 |
1609897800 | Charles P. Adams Jr. Md Pa | Specialist | 1034 Riverside Ave, Jacksonville, FL 32204-4123 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
Find all providers in zip 32204 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
1437620986 | Nicole Azaan | Specialist | 2301 Indian Dr Apt 29c, Jacksonville, NC 28546-5258 | 2018-12-10 |
1598251910 | Allionz LLC | Specialist | 2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 | 2018-07-09 |
1093236531 | Leah F Friedman | Specialist | 1650 Prudential Dr Ste 102, Jacksonville, FL 32207-8148 | 2017-07-06 |
1609301993 | Oakleaf Injury and Pain Center LLC | Specialist | 9526 Argyle Forest Blvd, B-6, Jacksonville, FL 32222-2825 | 2017-04-25 |
1982070140 | Riverside Spine & Pain Physicians, LLC | Specialist | 13133 Professional Dr, Suite 200, Jacksonville, FL 32225-7122 | 2015-08-11 |
1235525239 | Elizabeth Wehr | Specialist | 319 1st Ave N Apt 1a, Jacksonville, FL 32250-5500 | 2015-04-07 |
1053705236 | Orthowilmington, Pa | Specialist | 3382 Henderson Dr, Jacksonville, NC 28546-5230 | 2015-03-25 |
1295156941 | Southeast Orthopedic Specialists, Inc. | Specialist | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2013-12-26 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32204 |
Please comment or provide details below to improve the information on DR. CHARLES PULLIAM ADAMS JR..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.