Amy Michelle Bischoff
Individual provider Active NPI Contractor · Stow, OH
NPI 1487770756 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1487770756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 3072 Wexford Blvd
Stow, OH 44224-2850 - Phone
- (330) 221-5490
- Fax
- (330) 678-4557
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Support Enrich Advocate LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OH | Yes |
Addresses
Primary practice location
3072 Wexford Blvd
Stow, OH 44224-2850
Mailing address
3072 Wexford Blvd
Stow, OH 44224-2850
Phone (330) 221-5490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704256 | Medicaid | OH | |
| 2456211 | Medicaid | OH |
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.