Individual provider Active NPI

Amy Louise Maher, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Gig Harbor, WA
National Provider Identifier
1205945995
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
MD166757 Issued in OR
Practice address
4810 Point Fosdick Dr
Gig Harbor, WA 98335-1711
Phone
(541) 816-7336
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 61303508 WA
Addiction Medicine (Anesthesiology) Physician 207LA0401X 4301507227 MI
Addiction Medicine (Anesthesiology) Physician 207LA0401X 4393 FL
Addiction Medicine (Anesthesiology) Physician 207LA0401X A86866 CA
Addiction Medicine (Anesthesiology) Physician 207LA0401X 67051 TN
Addiction Medicine (Anesthesiology) Physician 207LA0401X 0071050 CO
Addiction Medicine (Anesthesiology) Physician 207LA0401X MC2148 ID
Addiction Medicine (Anesthesiology) Physician 207LA0401X MD166757 OR Primary

Addresses

Primary practice location

4810 Point Fosdick Dr
Gig Harbor, WA 98335-1711

Mailing address

4810 Point Fosdick Dr Ste 92
Gig Harbor, WA 98335-1711
Phone (253) 356-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 13, 2024 through Nov 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86866CAMDAddiction Medicine (Anesthesiology) Physician
0071050COMDAddiction Medicine (Anesthesiology) Physician
4393FLMDAddiction Medicine (Anesthesiology) Physician
MC2148IDMDAddiction Medicine (Anesthesiology) Physician
4301507227MIMDAddiction Medicine (Anesthesiology) Physician
MD166757ORMDAddiction Medicine (Anesthesiology) Physician
67051TNMDAddiction Medicine (Anesthesiology) Physician
61303508WAMDAddiction Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Anesthesia Inc. Anesthesiology PastSince Jan 1, 2000 Accepting new patients
University Anesthesia Medical Group Anesthesiology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1205945995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 POINT FOSDICK DR STE 92",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351711",
            "telephone_number": "253-356-7477",
            "fax_number": "888-782-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 POINT FOSDICK DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351711",
            "telephone_number": "541-816-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "WA",
            "license": "61303508",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "MI",
            "license": "4301507227",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "4393",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "A86866",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "TN",
            "license": "67051",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CO",
            "license": "0071050",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "ID",
            "license": "MC2148",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "OR",
            "license": "MD166757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.