Individual provider Active NPI

Amy Margaret Gordon-Ames

  • Family Medicine Physician
  • Merriam, KS
National Provider Identifier
1326091950
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0430042 Issued in KS
Practice address
9119 W 74TH St
Ste 150
Merriam, KS 66204-2215
Phone
(913) 789-1980
Fax
(913) 789-1990
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0430042 KS Primary

Addresses

Primary practice location

9119 W 74TH St
Ste 150
Merriam, KS 66204-2215

Mailing address

9119 W 74TH St
Ste 150
Merriam, KS 66204-2215
Phone (913) 789-1980

Other identifiers 1

IdentifierTypeStateIssuer
100458110AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000524 KS Practitioner - Family Practice 8224181516 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center, Inc. CurrentSince Feb 20, 2017 Accepting new patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Jun 1, 2009 Accepting new patients

Locations

14744 W 119th St
Olathe, KS 66062
Phone (913) 839-1759

9099 W 135th St
Overland Park, KS 66221
Phone (913) 373-2230

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9119 W 74th St
Ste 150
Shawnee Msn, KS 66204
Phone (913) 362-5510

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1326091950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "STE 150",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-789-1980",
            "fax_number": "913-789-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "STE 150",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-789-1980",
            "fax_number": "913-789-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-AMES",
        "first_name": "AMY",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100458110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.