Individual provider Active NPI

Amy Elizabeth Grawey, M.D.

  • Family Medicine Physician
  • O Fallon, MO
National Provider Identifier
1083824684
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007006524 Issued in MO
Practice address
207 E Pitman St
O Fallon, MO 63366-2620
Phone
(636) 875-1140
Fax
(636) 898-1960
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007006524 MO Primary

Addresses

Primary practice location

207 E Pitman St
O Fallon, MO 63366-2620

Mailing address

3 Twin Oaks CT
Saint Peters, MO 63376-3732
Phone (314) 698-9607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 15, 2013 through Nov 15, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007006524MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Flower Family Medicine, LLC Family Medicine PastSince Oct 2, 2022 Accepting new patients
Physician Groups LC Family Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1083824684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TWIN OAKS CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763732",
            "telephone_number": "314-698-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E PITMAN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662620",
            "telephone_number": "636-875-1140",
            "fax_number": "636-898-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAWEY",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007006524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.