Organization Active NPI

Beth M Amspaugh MD PLLC

  • Ophthalmology Physician
  • West Des Moines, IA
National Provider Identifier
1124465711
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39542 Issued in IA
Legal business name
BETH M AMSPAUGH MD PLLC
Practice address
2101 Westown Pkwy
Ste 2
West Des Moines, IA 50265-1598
Phone
(515) 225-2566
Fax
(515) 225-2425
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Dr. Beth M Amspaugh, MDNPI 1861644817
Title
President
Phone
(515) 225-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 39542 IA Primary

Addresses

Primary practice location

2101 Westown Pkwy
Ste 2
West Des Moines, IA 50265-1598

Mailing address

2101 Westown Pkwy
Ste 2
West Des Moines, IA 50265-1598
Phone (515) 225-2566

Other names 1

  • Beth M Amspaugh MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130927000651 IA Part B Supplier - Clinic/Group Practice 1456585785 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA; Des Moines, IA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1124465711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WESTOWN PKWY",
            "address_2": "STE 2",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651598",
            "telephone_number": "515-225-2566",
            "fax_number": "515-225-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WESTOWN PKWY",
            "address_2": "STE 2",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651598",
            "telephone_number": "515-225-2566",
            "fax_number": "515-225-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH M AMSPAUGH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "AMSPAUGH",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-225-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "39542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth M Amspaugh MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.