Amara Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35725 Issued in MO

Legal business name

AMARA PROFESSIONAL CORPORATION

Practice address

5615 Pershing Ave
Suite 26
Saint Louis, MO 63112-1757

Phone

(314) 361-0477

Fax

(314) 361-3771

NPI assigned

Jul 10, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

L. C. Tunstall-Robinson, M.D.

Title

Owner

Phone

(314) 361-0477

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latanya C Tunstall-Robinson, M.D.

  • Specialist
  • Saint Louis, MO
  • NPI 1639213366
  Medicare reassignment NPD
• Nasebo A Coleman-Robinson, MA, PLPC, CRC,

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1114628450
  NPD (past)
• James Walden Knight, M.D.

  • Vascular Surgery Physician
  • Saint Louis, MO
  • NPI 1639282643
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1255747267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 PERSHING AVE",
            "address_2": "SUITE 26",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121757",
            "telephone_number": "314-361-0477",
            "fax_number": "314-361-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 PERSHING AVE",
            "address_2": "SUITE 26",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121757",
            "telephone_number": "314-361-0477",
            "fax_number": "314-361-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "TUNSTALL-ROBINSON",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-361-0477",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "35725",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-058285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Woollard Ma LPC, LLC (Insightful Life Therapy Services)
• Alex Amann
• Katelyn Marilyn Amann, WHNP-BC
• Melissa L. Amann, FNP
• Amanns Orthopedics Inc
• Amarie's Healthcare
• David L Amarnek, DPM
• Amato Physical Therapy Associates, LLC (Excel Sports and Physical Therapy)
• Alfonso L Amato, P.T.
• Brittany Amato

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, 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 Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.