NPIMap

Individual provider Active NPI

Amy Parker Sayre, MD

  • Family Medicine Physician
  • Chapmanville, WV
National Provider Identifier
1528025350
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22093 Issued in WV
Practice address
555 Main St
Chapmanville, WV 25508
Phone
(304) 688-9901
Fax
(304) 688-9904
NPI assigned
Apr 26, 2006
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22093 WV Primary

Addresses

Primary practice location

555 Main St
Chapmanville, WV 25508

Mailing address

PO Box 4406
Chapmanville, WV 25508-4406
Phone (304) 688-9901

Other identifiers 2

IdentifierTypeStateIssuer
MD426633OtherPAPA LICENSE NUMBER
22093OtherWVLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000491 WV Practitioner - Family Practice 6103807052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

467 Main St
Suite 3
Madison, WV 25130-2200
Phone (304) 369-7876

697 Madison Ave
Suite 101
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22093WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Oct 1, 2015 Accepting new patients
Boone Memorial Hospital, Inc Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc Family Medicine CurrentSince Jul 29, 2020 Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients
Washington Hospital Past Accepting new patients
Boone Memorial Hospital, Inc Past Accepting new patients

Locations

6952 Coal River Rd
#C
Comfort, WV 25049
Phone (304) 307-3116

300 4th St
Danville, WV 25053
Phone (304) 307-6201

467 Main St
Ste 3
Madison, WV 25130
Phone (304) 369-1230

660 S Main St
#A
Madison, WV 25130
Phone (304) 369-1230

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

Organizations & group practices 7

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1528025350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4406",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255084406",
            "telephone_number": "304-688-9901",
            "fax_number": "304-688-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MAIN ST",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-688-9901",
            "fax_number": "304-688-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "AMY",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "MD426633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "22093",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.