Active NPI
Amy L Couch, MD
- Family Medicine Physician
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2010027317
- Practice address
- 901 Patients First Dr
Suite 1200
Washington, MO 63090-4700 - Phone
- (636) 390-1777
- NPI assigned
- Jul 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50798 | MN | |
| Family Medicine Physician | 207Q00000X | 2010027317 | MO | Primary |
Addresses
Primary practice location
901 Patients First Dr
Suite 1200
Washington, MO 63090-4700
Mailing address
901 Patients First Dr
Suite 1200
Washington, MO 63090-4700
Phone (636) 390-1777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00824264 | Other | MN | RAILROAD MEDICARE |
| 1275730152 | Medicaid | MO | |
| P01134582 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
851 E 5TH St
152 Mercy Clinic Hyperbaric and Wound C
Washington, MO 63090-3128
Phone (636) 861-7880
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospital South
- Mercy Hospital St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 112 |
| Removal of skin lesions | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50798 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Hyperbaric and Wound Care LLC | Current | Accepting new patients |
Locations
1390 US Highway 61
Ste G
Crystal Cty, MO 63028
Phone (636) 933-1163
12700 Southfork Rd
Ste 175
Saint Louis, MO 63128
Phone (314) 525-1798
851 E 5th St
Ste 152
Washington, MO 63090
Phone (636) 239-5155
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Organizations & group practices 1
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.
-
- Surgery Physician
- Festus, MO
- NPI 1336568864
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1053314179
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1275730152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR",
"address_2": "SUITE 1200",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-390-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR",
"address_2": "SUITE 1200",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-390-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "AMY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "50798",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2010027317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00824264",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275730152",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01134582",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.