Individual provider Active NPI

Amy Lynne Card, D.O.

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1003162959
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO172301 Issued in OR
Practice address
537 Union Ave FL 1Sr
Grants Pass, OR 97527-5543
Phone
(541) 507-2170
Fax
(541) 507-2171
NPI assigned
Jul 30, 2012
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A12978 CA
Family Medicine Physician 207Q00000X DO172301 OR Primary

Addresses

Primary practice location

537 Union Ave FL 1Sr
Grants Pass, OR 97527-5543

Mailing address

5050 Skyline Village Loop S
Salem, OR 97306-9490
Phone (503) 391-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160318000576 TX Practitioner - Family Practice 8325273733 Reassigns benefits to 1 organization
I20171017001616 HI Practitioner - Family Practice 8325273733 Reassigns benefits to 1 organization
I20180831000773 OR Practitioner - Family Practice 8325273733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asante Three Rivers Medical Center LLCGroup PAC ID 9931197993, 98 clinicians

Practice addresses (Care Compare)

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12978CAMDFamily Medicine Physician
DO172301ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Feb 16, 2016 Accepting new patients
Kauai Medical Clinic CurrentSince Oct 16, 2017 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Jan 1, 2023 Accepting new patients
Kauai Medical Clinic CurrentSince Oct 16, 2017 Accepting new patients
Asante Physician Partners Family Medicine CurrentSince Jun 27, 2022 Accepting new patients
Salem Health Family Medicine Past Accepting new patients

Locations

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

Interoperability endpoints

  • Direct secure messaging: acard949301@oc.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1003162959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SKYLINE VILLAGE LOOP S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069490",
            "telephone_number": "503-391-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 UNION AVE FL 1SR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275543",
            "telephone_number": "541-507-2170",
            "fax_number": "541-507-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARD",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12978",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO172301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.