Amy Grace Hise, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35073503 Issued in OH

Practice address

2103 Cornell Rd
WRB 4-121
Cleveland, OH 44106-7286

Phone

(216) 368-5016

Fax

(216) 368-4825

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326185406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CORNELL RD",
            "address_2": "WRB 4-121",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441067286",
            "telephone_number": "216-368-5016",
            "fax_number": "216-368-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 CORNELL RD",
            "address_2": "WRB 4-121",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441067286",
            "telephone_number": "216-368-5016",
            "fax_number": "216-368-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISE",
        "first_name": "AMY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Stanley Hirsh, M.D.
• Chanawee Hirunpattarasilp, MD, PHD
• Aubree Hirz
• Nichol S Hirz, CNP
• Bianka Monique Hirzel, DO
• Hispanic Umadaop
• Hispanic Umadoap
• Hispanic Umadoap
• Hispanic Urban Minority Alcholism and Drug Abuse Outreach Program
• Hispanic Urban Minority Alcholism and Drug Abuse Outreach Program

• Internal Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.