Amy L.R. Dudley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO1977 Issued in ME

Practice address

2 Great Falls PLZ Ste 21
Auburn, ME 04210

Phone

(207) 330-3950

Fax

(207) 330-3955

NPI assigned

Jul 26, 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

Other names 1

• Amy L Rodgers Former name

Medicare fee-for-service enrollment

Enrolled in ME, NH2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Careall P.C.

  • Urgent Care Clinic/Center
  • South Portland, ME
  • NPI 1700355567
  Medicare reassignment NPD
• Essex Inpatient Physicians, PC

  • Hospitalist Physician
  • North Andover, MA
  • NPI 1104004795

  NH

  Medicare reassignment
• River Valley Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Newburyport, MA
  • NPI 1366712002
  NPD (past)
• Seacoast Affiliated Group Practice, Inc.

  • Clinic/Center
  • Newburyport, MA
  • NPI 1801892344
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1417147331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ STE 21",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "04210",
            "telephone_number": "207-330-3950",
            "fax_number": "207-330-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Gracelawn Rd",
            "address_2": "Sutie 103",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042106334",
            "country_code": "US",
            "telephone_number": "207-330-3950",
            "fax_number": "207-330-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Gracelawn Rd",
            "address_2": "Sutie 103",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042106334",
            "country_code": "US",
            "telephone_number": "207-330-3950",
            "fax_number": "207-330-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "AMY",
        "middle_name": "L.R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RODGERS",
            "middle_name": "L",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorene A Dostal-Johnson, FNP
• Courtney Dostie
• Alicia Douglass, DMD
• Matthew Charles Dove, ATC, LAT
• Erica K Dubois, PHARM D.
• Michael Cameron Duff, PT
• Caroline Dunn, OTR/L
• James Preston Dunn, D.M.D.
• W Thomas Dunn Jr., M.D.
• Jillian Elizabeth Duplissis

• Family Medicine Physician in Auburn, ME
• Providers in Auburn, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.