Individual provider Active NPI

Jeffrey Simeon Amos, MD

  • Obstetrics & Gynecology Physician
  • Belfast, ME
National Provider Identifier
1366977878
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD30246 Issued in ME
Practice address
16 Fahy St Ste 108
Belfast, ME 04915-6029
Phone
(207) 505-4332
Fax
(207) 536-3201
NPI assigned
Apr 23, 2017
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD30246 ME Primary

Addresses

Primary practice location

16 Fahy St Ste 108
Belfast, ME 04915-6029

Mailing address

16 Fahy St Ste 108
Belfast, ME 04915-6029
Phone (207) 505-4332

Other practice location 1

3 Glen Cove Dr Ste 1
Rockport, ME 04856-4232
Phone (207) 301-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30246MEMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1366977878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAHY ST STE 108",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-505-4332",
            "fax_number": "207-536-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAHY ST STE 108",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-505-4332",
            "fax_number": "207-536-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Glen Cove Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564232",
            "country_code": "US",
            "telephone_number": "207-301-8900",
            "fax_number": "207-301-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOS",
        "first_name": "JEFFREY",
        "middle_name": "SIMEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD30246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.