Amanda J Victory, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

261761 Issued in NY

Practice address

990 South Ave
Suite 104
Rochester, NY 14620-2763

Phone

(585) 256-3000

Fax

(585) 256-3045

NPI assigned

May 23, 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

Enrolled in NY

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

Specialty

Obstetrics/Gynecology

Education

Southern Illinois University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast OB-GYN PCGroup PAC ID 9931234358, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hospital Hospital, Rochester, NY, CCN 330164
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southeast OB-GYN PC

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1184764524
  Medicare reassignment Care Compare group NPD
• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1336359777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE",
            "address_2": "SUITE 104",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202763",
            "telephone_number": "585-256-3000",
            "fax_number": "585-256-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH AVE",
            "address_2": "SUITE 104",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202763",
            "telephone_number": "585-256-3000",
            "fax_number": "585-256-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORY",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "261761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary William Vick, PA
• Betty Vickery, N.P.
• Cassandre S Victor-Vega, MD
• Adrienne I. Victor, M.D.
• Victory Fitness
• Rebecca Victory
• Carmen M. Vidal, D.D.S
• Lindsay Sommers Vidler, MSW
• Himabindu Vidula, M.D.
• Carol Vieau, P.A.

• Obstetrics & Gynecology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.

Verify at the official NPI Registry.