Active NPI
Amy Elizabeth Van Elkan, MD
- Family Medicine Physician
- Miramar, FL
National Provider Identifier
1407812001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.24957
- Practice address
- 3601 SW 160TH Ave
Suite #250
Miramar, FL 33027-6308 - Phone
- (305) 866-9951
- Fax
- (877) 284-8933
- NPI assigned
- Apr 22, 2006
- Last updated
- Mar 2, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 00024957 | AL | |
| Family Medicine Physician | 207Q00000X | MD.24957 | AL | Primary |
| General Practice Physician | 208D00000X | MD24957 | AL |
Addresses
Primary practice location
3601 SW 160TH Ave
Suite #250
Miramar, FL 33027-6308
Mailing address
3601 SW 160TH Ave
Suite #250
Miramar, FL 33027-6308
Phone (305) 866-9951
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009933977 | Medicaid | AL | |
| 051530125 | Other | AL | BLUE CROSS |
Other names 1
- Amy Clifford Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00024957 | AL | MD | Anesthesiology Physician |
| MD24957 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Solutions of Anniston | Anesthesiology | Past | Accepting new patients |
| Sylacauga Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Anniston, AL
- NPI 1386693950
-
- Anesthesiology Physician
- Sylacauga, AL
- NPI 1700843869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1407812001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE #250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "305-866-9951",
"fax_number": "877-284-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE",
"address_2": "SUITE #250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276308",
"telephone_number": "305-866-9951",
"fax_number": "877-284-8933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ELKAN",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-22",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "00024957",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD.24957",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "MD24957",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009933977",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051530125",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "ADAMS",
"middle_name": "CLIFFORD",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.