Amrita De Zoysa, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101253865 Issued in VA

Practice address

200 High St
Bridgewater, VA 22812-1114

Phone

(540) 828-2694

NPI assigned

Jun 25, 2010

Last updated

Apr 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1386955219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH ST",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228121114",
            "telephone_number": "540-828-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH ST",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228121114",
            "telephone_number": "540-828-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ZOYSA",
        "first_name": "AMRITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57-017500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101253865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VVA749A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Philip Costello
• Caroline Coulter, D.O.
• D and G DMD PLLC (Smiles for Life)
• Taylor-Rae Dandorth
• Mary Grace Davy
• Jordan Dent
• Dicksons Drug Store
• Leanne Elizabeth Dolan
• Kenya Earnessa Donovan, KENYA
• Barbara Dotson-Brooner

• Family Medicine Physician in Bridgewater, VA
• Providers in Bridgewater, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.