Active NPI
Amy Beth Corliss, M.D.
- Hospitalist Physician
- Lihue, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD13786
- Practice address
- 3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098 - Phone
- (808) 245-1100
- NPI assigned
- Jul 12, 2006
- Last updated
- Dec 20, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD13786 | HI | |
| Hospitalist Physician | 208M00000X | MD13786 | HI | Primary |
Addresses
Primary practice location
3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Mailing address
3-3420 Kuhio Highway
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Massachusetts Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adirondack Medical Center
Practice addresses (Care Compare)
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13786 | HI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adirondack Medical Center | Internal Medicine | Current | Accepting new patients |
| Adirondack Medical Center | Internal Medicine | Current | Accepting new patients |
| Adirondack Medical Center | Current | Accepting new patients | |
| Adirondack Medical Center | Past | Accepting new patients |
Locations
29 Church St
Lake Placid, NY 12946
Phone (518) 523-1327
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000
Organizations & group practices 4
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.
-
- General Practice Physician
- Saranac Lake, NY
- NPI 1245446533
Internal Medicine
-
- Surgery Physician
- Saranac Lake, NY
- NPI 1871359000
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1194750539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3-3420 KUHIO HIGHWAY",
"address_2": "SUITE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661098",
"telephone_number": "808-245-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3-3420 KUHIO HWY",
"address_2": "SUITE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661098",
"telephone_number": "808-245-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLISS",
"first_name": "AMY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD13786",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "HI",
"license": "MD13786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
- Robert J. Conrad, M.D.
- Constante J Flora, M.D., LLC (Aloha Medical Centers, Kauai)
- Jerilyn S.M. Cook
- Rei Cooper, LMHC
- Kathtryn Corbell
- Costco Wholesale Corporation
- Costco Wholesale Corporation (Costco Optical #640)
- Costco Wholesale Corporation (Costco Hearing Aid #640)
- Craig R Haruki DDS Inc.
- Timothy Crane, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.