Active NPI
Amy Vinik, P.A.
- Medical Physician Assistant
- Tucson, AZ
National Provider Identifier
1275614786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3480
- Practice address
- 1601 W St. Mary'S Road
Tucson, AZ 85745 - Phone
- (520) 647-8854
- Fax
- (520) 647-8851
- NPI assigned
- Oct 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3480 | AZ | Primary |
Addresses
Primary practice location
1601 W St. Mary'S Road
Tucson, AZ 85745
Mailing address
630 N Alvernon Way
Suite 250
Tucson, AZ 85711-1843
Phone (520) 647-8854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bisbee Hospital Association | Current | Accepting new patients | |
| Banner-University Medical Group | Past | Accepting new patients | |
| Emergency Room Associates | Past | Accepting new patients | |
| Emergency Room Associates Limited | Past | Accepting new patients |
Locations
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
-
- Rural Health Clinic/Center
- Hereford, AZ
- NPI 1245986975
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Physician Assistant
- Tucson, AZ
- NPI 1457576068
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1770586869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1275614786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY",
"address_2": "SUITE 250",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111843",
"telephone_number": "520-647-8854",
"fax_number": "520-647-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W ST. MARY'S ROAD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85745",
"telephone_number": "520-647-8854",
"fax_number": "520-647-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINIK",
"first_name": "AMY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.