Active NPI
Amy Titus Stucky, MD
- Family Medicine Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21239
- Practice address
- 1 Hospital Drive SE
Suite 100
Huntsville, AL 35801 - Phone
- (256) 880-4464
- NPI assigned
- Mar 26, 2007
- Last updated
- Oct 27, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21239 | AL | Primary |
Addresses
Primary practice location
1 Hospital Drive SE
Suite 100
Huntsville, AL 35801
Mailing address
1 Hospital Drive SE
Suite 100
Huntsville, AL 35801
Phone (256) 880-4464
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009912868 | Medicaid | AL | |
| 051559078 | Other | AL | MEDICARE NUMBER |
| 51541814 | Other | AL | BCBS OF ALABAMA |
| 51546111 | Other | AL | BCBS OF ALABAMA |
| H690 | Other | AL | MEDICARE |
| 009912869 | Medicaid | AL | |
| 051559078 | Medicaid | AL | |
| 529500990 | Medicaid | AL | |
| 1285752600 | Medicaid | AL | |
| 51546113 | Other | AL | BCBS OF ALABAMA |
| 51540854 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- University of Alabama School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 E Chestnut St
Augusta, ME 04330-5758
Phone (207) 621-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21239 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Emergency Physicians Group | Current | Accepting new patients | |
| The Valley Foundation | Current | Accepting new patients | |
| Center for Cancer Care LLC | Past | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511
6 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1236
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- amystucky@mgh.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1659366649
-
- Multi-Specialty Clinic/Center
- Huntsville, AL
- NPI 1952315681
-
dba MaineGeneral Speciality Care
- General Acute Care Hospital
- Augusta, ME
- NPI 1083949184
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
dba Alliance Cancer Care
- Radiation Oncology Physician
- Huntsville, AL
- NPI 1073538732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1285752600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DRIVE SE",
"address_2": "SUITE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-880-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DRIVE SE",
"address_2": "SUITE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-880-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKY",
"first_name": "AMY",
"middle_name": "TITUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "21239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009912868",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "051559078",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51541814",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51546111",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H690",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009912869",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051559078",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529500990",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285752600",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51546113",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51540854",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.