Henry George Amon Jr., MD
Individual provider Active NPI Emergency Medicine Physician · Post Falls, ID
NPI 1508850397 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1508850397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- M-6900 (ID)
- Practice address
- 750 N Syringa St Ste 100
Post Falls, ID 83854-5275 - Phone
- (208) 262-2600
- Fax
- (208) 262-2700
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Idaho Day Surgery LLC
Practice addresses (Care Compare)
750 N Syringa St
Suite 100
Post Falls, ID 83854-5275
Phone (208) 262-2600
Hospital & facility affiliations
- Northwest Specialty Hospital
- Kootenai Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100528000429 | ID | Practitioner - Emergency Medicine | 3173652294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6900 | ID | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incyte Pathology, PLLC | Current | Accepting new patients | |
| North Idaho Day Surgery LLC | Current |
Accepting new patients | |
| North Idaho Day Surgery LLC | Past | Accepting new patients |
Locations
7173 E Super 1 Loop
Ste A
Athol, ID 83801
Phone (208) 561-9970
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
315 W Dalton Ave
Ste A
Coeur D Alene, ID 83815
Phone (208) 209-2060
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M-6900 | ID | Yes |
Addresses
Primary practice location
750 N Syringa St Ste 100
Post Falls, ID 83854-5275
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
Other practice location 1
315 W Dalton Ave Ste A
Coeur D Alene, ID 83815-8600
Phone (208) 209-2060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508850397 | Medicaid | ID |
Other providers in Post Falls, ID
- Alternative Community Enrichment Services, Inc
- Alternative Community Enrichment Services, Inc
- Alternative Community Enrichment Services, Inc
- Amaris Development Group
- Sarah Elizabeth Ambrose
- Chrystal Marie Anardi
- Gary B Andregg
- David B Andrews
- Angela Macdonald-Hertz LLC
- Kelly Anthony
All providers in Post Falls, ID · Emergency Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.