DR. MICHAEL DEAN ADAMS (NPI# 1922005347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922005347 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DEAN ADAMS |
| Credential | M.D. |
| Practice Address |
75 Yellow Creek Rd Suite 102 Evanston WY 82930-5235 |
| Practice Telephone | 3077898290 |
| Practice Fax Number | 3077898975 |
| Mailing Telephone | 3077898290 |
| Mailing Fax Number | 3077898975 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 181920-8905 | UT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 4371-A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUECROSS/BLUESHIELD CLIN | 02902001 | 01 |
| RAILROAD MEDICARE | 080014492 | 01 | |
| UPIN | C12604 | 01 | |
| AETNA | 0004116106 | 01 | |
| WY | 103977600 | 05 | |
| WY | CLIA NUMBER | 53D0977203 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 N 400 E Ste 104, North Logan, UT 843417595 | 4357556061 | 4357556091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944849 | Michael Justin Adams | Technician | 821 N Mildred St Apt 7101, Ranson, WV 25438-1662 | 2020-08-25 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1811552102 | Michael Thomas Adams | Student in an Organized Health Care Education/Training Program | 16 Dynasty Lane, Candler, NC 28715 | 2019-05-02 |
| 1285107276 | Michael Scott Adams | Student in an Organized Health Care Education/Training Program | 909 Choctaw Ave, North Las Vegas, NV 89031-1853 | 2019-01-02 |
| 1811401730 | Michael Adams Jr. | Social Worker | 101 Q St Ne Ste G, Washington, DC 20002-2166 | 2017-11-30 |
| 1639605975 | Michael W Adams | Technician, Cardiology | 1116 Downing Cir, League City, TX 77573-3643 | 2017-05-05 |
| 1265805006 | Michael Shane Adams | Nurse's Aide | 10 Lindeman Rd, Sciotoville, OH 45662 | 2015-11-02 |
| 1619357076 | Michael Adams | Occupational Therapy Assistant | 1251 Ladys Island Dr, Port Royal, SC 29935-1106 | 2015-06-01 |
| 1740541119 | Michael Allen Adams | Pharmacist | 14655 Northwest Fwy, Suite 101, Houston, TX 77040-4042 | 2012-06-01 |
| 1992003727 | Michael Winston Adams | Pharmacist | 1013 E Memorial Dr, Ahoskie, NC 27910-3917 | 2011-03-02 |
| Street Address |
75 YELLOW CREEK RD SUITE 102 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285003970 | Terrick Harrild | Physician Assistant | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2015-09-23 |
| 1235495771 | Bear Lake Community Health Centers | Clinic/Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2012-04-10 |
| 1063794816 | Ronald Janeiro Dolan | Counselor | 75 Yellow Creek Rd, Suite 105, Evanston, WY 82930-5235 | 2011-09-16 |
| 1356621213 | Adrienne Southard | Nurse's Aide | 75 Yellow Creek Rd, 105, Evanston, WY 82930-5235 | 2011-08-24 |
| 1619257540 | Coreena J Bradley | Licensed Practical Nurse | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-08-23 |
| 1346548088 | Alma D Coleman | Case Manager/Care Coordinator | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1235437989 | Renee C Walker | Nurse's Aide | 75 Yellow Creek Rd, Ste 105, Evanston, WY 82930-5235 | 2011-03-04 |
| 1205013455 | Michael D. Adams, M.d., P.C. | Family Medicine | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | 2008-01-29 |
| 1023177375 | Uinta Urgent Care | Nurse Practitioner | 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930 | 2006-12-06 |
| 1174563241 | Kimberly Anne Begalla | Nurse Practitioner | 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930-5235 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689207722 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Stop 100, Evanston, WY 82930-9352 | 2020-02-18 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1235503459 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2015-11-26 |
| 1194094086 | Zulfikar Esmail | Family Medicine | 1616 Forest Pl, Evanston, IL 60201-4663 | 2011-12-21 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| 1821280256 | Humera Khan | Family Medicine | 800 Austin St Ste 505, Evanston, IL 60202-3439 | 2007-08-09 |
| 1902934532 | Michael Kevin Rakotz | Family Medicine | 1704 Maple Ave, Suite 200, Evanston, IL 60201-3134 | 2007-03-02 |
| 1497819692 | Geeta Maker-clark | Family Medicine | 909 Davis St Ste 200, Evanston, IL 60201-3664 | 2006-12-21 |
| 1982779047 | Elena Fitchev | Family Medicine | 800 Austin St Ste 502w, Evanston, IL 60202-3445 | 2006-11-22 |
| 1063528255 | Carl Elmer Hill | Family Medicine | 841 Dodge Ave, Evanston, IL 60202 | 2006-08-22 |
| Find all providers in EVANSTON | ||||
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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.