Active NPI
Gary Amlong
- Speech/Language/Hearing Specialist/Technologist
- O'Fallon, MO
National Provider Identifier
1316508997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- Practice address
- 2820 Dardenne Links Dr
O Fallon, MO 63368-9741 - Phone
- (636) 357-2951
- NPI assigned
- Jun 25, 2019
- Last updated
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | Primary |
Addresses
Primary practice location
2820 Dardenne Links Dr
O Fallon, MO 63368-9741
Mailing address
PO Box 2153
Dept 8116
Birmingham, AL 35287-8116
Phone (636) 675-5471
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spectrum-monitoring@outlook.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Monitoring, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Other Specialist/Technologist
- O'Fallon, MO
- NPI 1396412284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1316508997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153",
"address_2": "DEPT 8116",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352878116",
"telephone_number": "636-675-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 DARDENNE LINKS DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633689741",
"telephone_number": "636-357-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMLONG",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spectrum-monitoring@outlook.com",
"affiliation": "N",
"address_1": "2820 Dardenne Links Dr",
"city": "O Fallon",
"state": "MO",
"country_code": "US",
"postal_code": "633689741",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.