Individual provider · Type 1 NPI
Adam Ray Gillum
Point of Service · Wabash, IN
NPI number
1386552552
Active
Practice location
5394 S State Road 15 Trlr 68
Wabash, IN 46992-9768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1386552552
Adam Ray Gillum's National Provider Identifier is 1386552552, issued on Aug 31, 2026. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Wabash, IN. The record was last updated on Aug 31, 2026.