MICHAEL MAX ADAM (NPI# 1740608272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740608272 |
Entity Type | Individual |
Full Name | MICHAEL MAX ADAM |
Credential | M.D. |
Practice Address |
1055 N 500 W Ste 112 Provo UT 84604-3305 |
Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604-3305 |
Practice Telephone | 8018124624 |
Practice Fax Number | 8018124699 |
Mailing Telephone | 8013548225 |
Mailing Fax Number | 8014180941 |
Enumeration Date | 2014-04-02 |
Last Update Date | 2020-04-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
11685099-1205 | UT | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
2019009760 | MO | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1175 E 50 S Ste 141, American Fork, UT 840032845 | 8018124624 | 8018124699 |
1490 E Foremaster Dr Bldg C, St George, UT 847904550 | 8018124624 | 8018124699 |
30 N 1900 E, Room 4c104, Salt Lake City, UT 841320002 | 8015817606 | |
3000 N Triumph Blvd Ste 100, Lehi, UT 840434999 | 8018124624 | 8018124699 |
510 S Kingshighway Blvd # 8131, Saint Louis, MO 631101016 | 3143622978 | |
555 W Sr 164, Salem, UT 84653 | 8018124624 | 8018124699 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972029445 | Michael W. Adam | Registered Nurse | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2017-08-16 |
1922384866 | Michael Adam | Pharmacist | 5038 Center St, Omaha, NE 68106-3111 | 2011-10-24 |
1699884957 | Michael Adam | Physician Assistant | 1168 W Martintown Rd, North Augusta, SC 29841-2046 | 2006-08-30 |
Street Address |
1055 N 500 W STE 112 |
City | PROVO |
State | UT |
Zip Code | 84604-3305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598317844 | Ashley Sefcovic | Physician Assistant | 1055 N 500 W Ste 112, Provo, UT 84604-3305 | 2019-07-16 |
1144622440 | Shyrlan Beck | Physician Assistant | 1055 N 500 W Ste 112, Provo, UT 84604 | 2014-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
Find all providers in zip 84604 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679180509 | Provas of Provo | Radiology | 320 River Park Dr Ste 215, Provo, UT 84604-6065 | 2020-09-24 |
1265483598 | Utah Valley Radiology Associates Inc | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558905398 | Wasatch Vascular Center LLC | Radiology | 3702 S State St Ste 103, Salt Lake City, UT 84115-5096 | 2019-11-05 |
1831662311 | Cache Valley Vein | Radiology | 565 W 465 N Ste 130, Providence, UT 84332-4802 | 2019-01-07 |
1568965697 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-03-15 |
1356630073 | Claire Kaufman | Radiology | Medical Center 30 N 1900 E, Salt Lake City, UT 84132-0001 | 2011-04-04 |
1982821690 | Edward John Sarver | Radiology | 5395 Old Post Rd, Ogden, UT 84403-4346 | 2007-04-20 |
1821154121 | Ryan Gene O'hara | Radiology | University of Utah Dept of Radiology, 30n. 1900e #1a071, Salt Lake City, UT 84132-6100 | 2006-12-29 |
1386731339 | Franklin J. Miller Jr. | Radiology | Dept Radiology University of Utah 50 N Medical Drive, 1a71, Salt Lake City, UT 84132-0001 | 2006-10-09 |
1790736130 | St. George Radiology Inc. | Radiology | 1308 E 900 S, St George, UT 84790-8520 | 2006-05-12 |
1073170031 | Provas of Ogden, LLC | Radiology | 5974 Fashion Point Dr Ste 110, South Ogden, UT 84403-4712 | 2019-05-24 |
1407410244 | Provas of Salt Lake, LLC | Radiology | 909 E 9400 S, Sandy, UT 84094-5514 | 2019-04-26 |
Find all providers with the same taxonomy |
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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.