Individual
ADAM L SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 390-5000
(937) 390-5526
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35087201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000487944
BCBS
OH
05
—
2668859
—
OH
01
—
P00324626
RAIL ROAD MEDICARE
—
Enumeration date
06/29/2006
Last updated
05/29/2008
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