Amy O Puderbaugh, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2015010237 Issued in MO

Practice address

3071 S Grand Ave
Carthage, MO 64836-7851

Phone

(417) 310-9286

Fax

(417) 674-4662

NPI assigned

Jul 24, 2012

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Amy O Apodaca Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MO

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.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Big Springs Medical Association

  dba Missouri Highlands Health Care

  • Federally Qualified Health Center (FQHC)
  • Van Buren, MO
  • NPI 1225045321
  Medicare reassignment NPD
• Compass Health, Inc

  dba Compass Health Network

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment NPD
• McPherson Medical & Diagnostic, LLC

  dba Malden Family Clinic and Diagnostic

  • Clinic/Center
  • Malden, MO
  • NPI 1003407883
  Medicare reassignment NPD
• Mercy Clinic Adult Hospitalists - St. Louis, LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1841235108
  Medicare reassignment NPD
• Mercy Clinic Adult Hospitalists- Jefferson, LLC

  • Internal Medicine Physician
  • Festus, MO
  • NPI 1083052492
  Medicare reassignment NPD
• Big Springs Medical Association

  dba Missouri Highlands Health Care

  • Federally Qualified Health Center (FQHC)
  • Piedmont, MO
  • NPI 1790336170
  NPD
• Big Springs Medical Association

  dba Missouri Highlands Health Care

  • Federally Qualified Health Center (FQHC)
  • Poplar Bluff, MO
  • NPI 1972466233
  NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Kennett, MO
  • NPI 1124679774
  NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Gideon, MO
  • NPI 1497189864
  NPD
• Nathan Richard Health Care Center, LLC

  dba Nathan Richard Health Care Center

  • Skilled Nursing Facility
  • Nevada, MO
  • NPI 1508483918
  NPD (past)
• Nick's Health Care Center LLC

  • Skilled Nursing Facility
  • Plattsburg, MO
  • NPI 1780064071
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1174878409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 S GRAND AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648367851",
            "telephone_number": "417-310-9286",
            "fax_number": "417-674-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 S GRAND AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648367851",
            "telephone_number": "417-310-9286",
            "fax_number": "417-674-4662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Stonecrest",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063127",
            "country_code": "US",
            "telephone_number": "816-639-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890004",
            "country_code": "US",
            "telephone_number": "301-319-8361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Clay Edwards Dr",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "64116",
            "country_code": "US",
            "telephone_number": "816-968-9320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Glenn Hendren Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640689625",
            "country_code": "US",
            "telephone_number": "816-968-9320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300A E Gregory Blvd",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641336523",
            "country_code": "US",
            "telephone_number": "816-946-6930",
            "fax_number": "855-813-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUDERBAUGH",
        "first_name": "AMY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102203730",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2015010237",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015010237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.apodaca@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9300A E Gregory Blvd",
            "city": "Raytown",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641336523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.amy.apodaca@cerebral.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2 Stonecrest",
            "city": "Saint Joseph",
            "state": "MO",
            "country_code": "US",
            "postal_code": "645063127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "APODACA",
            "middle_name": "O",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robyn Ladawn Petersen, LCSW
• Joshua David Pingel, PHARMD
• Jeanine Ann Poe, LMT
• Proactive Home Care Missouri, Inc. (Planned Wellness)
• Proactive Home Care Missouri, Inc. (Planned Wellness)
• Michelle Lea Pyle, O.D.
• Luke Douglas Pyron, MD
• Joseph Thomas Quay III, D.O.
• Shawna Rambo
• Randall Kunze DPM LLC

• Internal Medicine Physician in Carthage, MO
• Providers in Carthage, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.

Verify at the official NPI Registry.