Active NPI
Amy Patricia Hauck, MD
- Hospitalist Physician
- Jacksonville, FL
National Provider Identifier
1316911910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- H4391
- Practice address
- 2080 Child St
Naval Hospital Jacksonville
Jacksonville, FL 32214-5005 - Phone
- (904) 542-7435
- Fax
- (904) 542-7442
- NPI assigned
- Feb 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H4391 | TX | |
| Hospitalist Physician | 208M00000X | H4391 | TX | Primary |
Addresses
Primary practice location
2080 Child St
Naval Hospital Jacksonville
Jacksonville, FL 32214-5005
Mailing address
11712 Running Fox TRL
Austin, TX 78759-4245
Phone (512) 657-3329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4391 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Pediatrics | Current | Accepting new patients |
| Ascension Seton | Past | Accepting new patients | |
| Babies 411 LLC | Past | Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Locations
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
Interoperability endpoints
- ahauck@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Pediatrics
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- Lactation Consultant (Registered Nurse)
- Cedar Park, TX
- NPI 1013394055
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1316911910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11712 RUNNING FOX TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594245",
"telephone_number": "512-657-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"address_2": "NAVAL HOSPITAL JACKSONVILLE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-542-7435",
"fax_number": "904-542-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "AMY",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "H4391",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "H4391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.