Amanda Lynn Minich, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101018160 Issued in MI

Practice address

6450 Maple St
Dearborn, MI 48126-2259

Phone

(313) 842-7010

Fax

(313) 842-5150

NPI assigned

Jul 13, 2009

Last updated

Oct 12, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Family PracticeAlso: Obstetrics/Gynecology

Education

Michigan State University College of Osteopathic Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access IpaGroup PAC ID 4486736220, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Ipa

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1760682371
  Medicare reassignment Care Compare group
• Emagine Health Services LLC

  • Behavior Analyst
  • Dearborn, MI
  • NPI 1518685460

  Family Medicine

  Medicare reassignment NPD
• Arab Community Center for Economic and Social Services Access

  • Community/Behavioral Health Agency
  • Dearborn, MI
  • NPI 1619285772
  NPD
• Access Ipa

  • Health Educator
  • Dearborn, MI
  • NPI 1326810128
  NPD (past)
• Advanced Medical Services PLLC

  • Family Medicine Physician
  • Oak Park, MI
  • NPI 1619275583
  NPD (past)
• Lilian Lai MD PC

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1992994636
  NPD (past)

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

• Oakwood Healthcare Inc

  dba Beaumont Outpatient Diabetes Education

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  dba Beaumont Hospital - Dearborn

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1467681387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731202",
            "telephone_number": "517-449-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 MAPLE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262259",
            "telephone_number": "313-842-7010",
            "fax_number": "313-842-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICH",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5101018160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Mills, CNM
• Tangella Millwood
• Thomas Robert Miloch, DDS
• Jaclyn Milose, M.D.
• Mindful Mind Therapy LLC
• Lawrence Mintzer
• Zarine Minwalla, PT, DPT
• Mirna Farhat MD, PLC
• Mitchell Center for Psychological Care
• Alexis Mitchell, LCSW

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.