Provider Demographics
NPI:1427165778
Name:ADAMS, TODD M (MD)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 496
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:ME
Mailing Address - Zip Code:04054-0496
Mailing Address - Country:US
Mailing Address - Phone:207-646-8386
Mailing Address - Fax:207-641-2855
Practice Address - Street 1:277 POST ROAD
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:ME
Practice Address - Zip Code:04054-0496
Practice Address - Country:US
Practice Address - Phone:207-646-8386
Practice Address - Fax:207-641-2855
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH01YPO2926ME01OtherANTHEM
B2540222OtherAETNA (HMO)
G06915OtherHARVARD PILGRIM HEALTHCAR
116508OtherAETNA (PPO)
1680519OtherCIGNA
ME039704OtherANTHEM
1680519OtherCIGNA
B2540222OtherAETNA (HMO)