Amaro Integrative Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P6322 Issued in TX

Legal business name

AMARO INTEGRATIVE MEDICINE

Practice address

1901 Medi Park Dr
1048
Amarillo, TX 79106-2110

Phone

(806) 576-4999

Fax

(806) 589-1062

NPI assigned

Jul 22, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Aaron Amaro, D.O.NPI 1194043216

Title

D.O.

Phone

(806) 576-4999

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Aaron Amaro, D.O.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1194043216
  Medicare reassignment Authorized official
• Olga Gonzalez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Amarillo, TX
  • NPI 1609275312
  Medicare reassignment NPD

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1073920096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "1048",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-576-4999",
            "fax_number": "806-589-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "1048",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-576-4999",
            "fax_number": "806-589-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARO INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "AMARO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "806-576-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P6322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX PROVIDER ID (TPI)",
            "identifier": "291003YSJ1",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "291003YSJ1",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320189901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.