OCTAVIAN REMUS ADAM M.D. NPI 1104020791

NPI Information

NPI: 1104020791
Provider Name: OCTAVIAN REMUS ADAM, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
3300 MAIN ST
3RD FLOOR, SUITE C&D
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-7033
Get Directions

Octavian Remus Adam, M.D. is a neurology psychiatry neurology in Springfield, MA with 23 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Octavian Remus Adam, M.D. NPI is 1104020791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 MAIN ST
3RD FLOOR, SUITE C&D
SPRINGFIELD, MA
ZIP 01199-619
Phone: (413) 794-7033
Fax: (413) 794-7297

The NPI 1104020791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	M6485	TEXAS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	35.089162	OHIO	No
3	2084N0400X	Psychiatry & Neurology	Neurology	257316	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00669560	MEDICARE PIN	TEXAS
2	898610528	OTHER		MYUTMB 898610528-COMMERCIAL NUMBER
3	8K4511	MEDICARE PIN	TEXAS
4	8L8445	MEDICARE PIN	TEXAS
5	192319501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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