Michael Kemp Amacker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

013595 Issued in LA

Practice address

2335 Church St
Ste E
Zachary, LA 70791-2700

Phone

(225) 654-3607

Fax

(225) 658-2262

NPI assigned

Jul 26, 2005

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1275533952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHURCH ST STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912700",
            "telephone_number": "225-570-2489",
            "fax_number": "225-570-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHURCH ST",
            "address_2": "STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912700",
            "telephone_number": "225-654-3607",
            "fax_number": "225-658-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMACKER",
        "first_name": "MICHAEL",
        "middle_name": "KEMP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "013595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1193330",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma B Alexander
• Jason P Allemond, OD
• Sigrid Allenstein, PT
• Jameson Levon William Alston, PT
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 (Moreau Physical Therapy)
• American Oncology Partners, P.a. (Hematology Oncology Clinic)
• American Oncology Partners, P.a. (Hematology Oncology Clinic)
• Sarah Capps Anders, PHARMD
• Amber Anderson, DPT
• Brandi Anderson

• Family Medicine Physician in Zachary, LA
• Providers in Zachary, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.