Individual provider Active NPI

Amanda Stoll Murphy, PA-C

  • Physician Assistant
  • Fort Washington, PA
National Provider Identifier
1073667861
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051045 Issued in PA
Practice address
501 Office Center Dr
Suite 195
Fort Washington, PA 19034-3220
Phone
(215) 836-7900
Fax
(215) 836-7900
NPI assigned
Jan 22, 2007
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051045 PA Primary
Physician Assistant 363A00000X OA002353 PA

Addresses

Primary practice location

501 Office Center Dr
Suite 195
Fort Washington, PA 19034-3220

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Other identifiers 1

IdentifierTypeStateIssuer
RAILROAD MEDICAREOtherPAP00125664

Other names 1

  • Amanda Marie Stoll Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925000536 PA Practitioner - Physician Assistant 5991925901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Embrace Dermatology and Aesthetics, LLCGroup PAC ID 0648676296, 6 clinicians

Practice addresses (Care Compare)

123 Chestnut St
Suite 300
Philadelphia, PA 19106-3059
Phone (267) 609-2424

909 Sumneytown Pike
Suite 105
Spring House, PA 19477-1011
Phone (267) 609-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA002353PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Dermatology and Aesthetics, LLC Past Accepting new patients
Andrew K Pollack Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amurphy@embracederm.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1073667861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 OFFICE CENTER DR",
            "address_2": "SUITE 195",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343220",
            "telephone_number": "215-836-7900",
            "fax_number": "215-836-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "AMANDA",
        "middle_name": "STOLL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051045",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P00125664",
            "identifier": "RAILROAD MEDICARE",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STOLL",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.