Active NPI
Amy Elizabeth Goldie Ray, PA
- Medical Physician Assistant
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10000914A
- Practice address
- 10590 N Meridian St
Carmel, IN 46290-1028 - Phone
- (317) 338-6666
- NPI assigned
- Oct 12, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000914 | IN | |
| Medical Physician Assistant | 363AM0700X | 10000914A | IN | Primary |
Addresses
Primary practice location
10590 N Meridian St
Carmel, IN 46290-1028
Mailing address
10590 N Meridian St
Carmel, IN 46290-1028
Other practice location 1
8333 Naab Rd Ste 420
Indianapolis, IN 46260-1992
Phone (317) 338-6666
Other names 1
- Amy Boesch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000
10590 N Meridian St
Carmel, IN 46290-1028
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000914 | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients | |
| CCCG, LLC | Past | Accepting new patients | |
| Emergency Medicine of Indiana | Past | Accepting new patients | |
| Icem, LLC | Past | Accepting new patients |
Locations
10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
700 Broadway
Fort Wayne, IN 46802
Phone (219) 458-2228
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066
8333 Naab Rd
Ste 420
Indianapolis, IN 46260
Phone (317) 338-6666
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
Interoperability endpoints
- amy.ray.1@7598.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Rural Health Clinic/Center
- Union City, IN
- NPI 1871866384
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1861427775
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1952356883
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1467788208
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Carmel, IN
- NPI 1982681748
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1326137498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10590 N MERIDIAN ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 N MERIDIAN ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901028",
"telephone_number": "317-338-6666"
}
],
"practiceLocations": [
{
"address_1": "8333 Naab Rd Ste 420",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601992",
"country_code": "US",
"telephone_number": "317-338-6666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "AMY",
"middle_name": "ELIZABETH GOLDIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000914",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10000914A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "BOESCH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.