Active NPI
Amy T Neal, PA-C
- Physician Assistant
- Keene, NH
National Provider Identifier
1124551718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1254
- Practice address
- 580 Court Street
The Cheshire Medical Center
Keene, NH 03431 - Phone
- (603) 354-5454
- Fax
- (603) 354-6535
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1254 | NH | Primary |
Addresses
Primary practice location
580 Court Street
The Cheshire Medical Center
Keene, NH 03431
Mailing address
580 Court Street
The Cheshire Medical Center - Emergency Department
Keene, NH 03431-1718
Phone (603) 354-5454
Other names 1
- Amy Tiffin Wilkinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1254 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheshire Medical Center | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients |
Locations
580 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Emergency Medicine Physician
- Keene, NH
- NPI 1093803397
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- Family Medicine Physician
- Keene, NH
- NPI 1306349444
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Keene, NH
- NPI 1174176861
-
- Community/Retail Pharmacy
- Keene, NH
- NPI 1033761739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1124551718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 COURT STREET",
"address_2": "THE CHESHIRE MEDICAL CENTER - EMERGENCY DEPARTMENT",
"city": "KEENE",
"state": "NH",
"postal_code": "034311718",
"telephone_number": "603-354-5454",
"fax_number": "603-354-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 COURT STREET",
"address_2": "THE CHESHIRE MEDICAL CENTER",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-354-5454",
"fax_number": "603-354-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "AMY",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WILKINSON",
"middle_name": "TIFFIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.