Active NPI
Amy Louise Maher, MD
- Addiction Medicine (Anesthesiology) Physician
- Gig Harbor, WA
National Provider Identifier
1205945995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- MD166757
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A86866 | CA | MD | Addiction Medicine (Anesthesiology) Physician |
| 0071050 | CO | MD | Addiction Medicine (Anesthesiology) Physician |
| 4393 | FL | MD | Addiction Medicine (Anesthesiology) Physician |
| MC2148 | ID | MD | Addiction Medicine (Anesthesiology) Physician |
| 4301507227 | MI | MD | Addiction Medicine (Anesthesiology) Physician |
| MD166757 | OR | MD | Addiction Medicine (Anesthesiology) Physician |
| 67051 | TN | MD | Addiction Medicine (Anesthesiology) Physician |
| 61303508 | WA | MD | Addiction Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Anesthesia Inc. | Anesthesiology | Past | 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.
-
- Anesthesiology Physician
- Fairbanks, AK
- NPI 1629098140
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.