Active NPI
Amy Gates Maher, D.O.
- Student in an Organized Health Care Education/Training Program
- Fort Wayne, IN
National Provider Identifier
1144486101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 58.001942
- Practice address
- 3842 New Vision Dr
Fort Wayne, IN 46845-1708 - Phone
- (260) 437-9500
- Fax
- (260) 434-1020
- NPI assigned
- Jul 30, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.001942 | OH | Primary |
Addresses
Primary practice location
3842 New Vision Dr
Fort Wayne, IN 46845-1708
Mailing address
3842 New Vision Dr
Fort Wayne, IN 46845-1708
Phone (260) 437-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.001942 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1144486101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3842 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451708",
"telephone_number": "260-437-9500",
"fax_number": "260-434-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3842 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451708",
"telephone_number": "260-437-9500",
"fax_number": "260-434-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "AMY",
"middle_name": "GATES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "58.001942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.