Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam J Pore, AA

Individual provider Anesthesiologist Assistant · NPI 1366840241

Adam J Pore, AA is an Anesthesiology Assistant in Columbus, Ohio. Qualified in 2014, 12 years ago. Practices with Osu Observation Medicine, LLC, a 419-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, North Carolina and Ohio.

Years since qualifying
12
Licensed in
GA, NC, OH
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

410 W 10th Ave Fl 1
Columbus, OH 43210-1240
Phone: (614) 293-8487
Fax: (614) 293-8153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Kildaire Farm Rd, Cary, NC 27518-6616 — (919) 350-8000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 67.000241 (OH)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 7445 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 1000-00667 (NC)

Record details

NPI number1366840241
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedDecember 9, 2014
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Osu Observation Medicine, Llc — 419 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Columbus