NPIMap

Individual provider Active NPI

Amy Ward Hamilton, PA

  • Medical Physician Assistant
  • Shenandoah, TX
National Provider Identifier
1205879210
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01985 Issued in TX
Practice address
19221 I H 45 S Ste 400
Southwood Tower
Shenandoah, TX 77385-8756
Phone
(832) 585-0095
Fax
(832) 585-0088
NPI assigned
Jun 14, 2006
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01985 TX Primary

Addresses

Primary practice location

19221 I H 45 S Ste 400
Southwood Tower
Shenandoah, TX 77385-8756

Mailing address

2050 Nature Park LN
Spring, TX 77386-2747
Phone (281) 866-7701

Other identifiers 1

IdentifierTypeStateIssuer
183149701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000620 TX Practitioner - Physician Assistant 0042216780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
College Park Medicine,PAGroup PAC ID 7113964966, 11 clinicians

Practice addresses (Care Compare)

5834 Louetta Rd
Suite F
Spring, TX 77379-7884
Phone (936) 271-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Airrosti Rehab Centers, LLC Past Accepting new patients
Catherine Hart MD PA PastSince Oct 9, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1205879210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NATURE PARK LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862747",
            "telephone_number": "281-866-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 I H 45 S STE 400",
            "address_2": "SOUTHWOOD TOWER",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858756",
            "telephone_number": "832-585-0095",
            "fax_number": "832-585-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "AMY",
        "middle_name": "WARD",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183149701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.