Amy Rose S Noffke, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301077476 Issued in MI

Practice address

860 East Front Street
Traverse City, MI 49686-2704

Phone

(231) 938-0710

Fax

(231) 938-0264

NPI assigned

Jul 1, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Associated Retinal Consultants, PC

  • Ophthalmology Physician
  • Royal Oak, MI
  • NPI 1215003793
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1528097649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL",
            "address_2": "200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755391",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 EAST FRONT STREET",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862704",
            "telephone_number": "231-938-0710",
            "fax_number": "231-938-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFFKE",
        "first_name": "AMY ROSE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301077476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nlcmh
• Greg M. Noah, O.D.
• David Matthew Noble, MD
• Susan C Noble, M.D.
• Walter Channing Noble, M.D.
• Ashley Kay Nola
• Anna Soo Jung Norris, MT-BC
• North Arrow ABA, LLC
• North Flight Aero Med
• North Flight Inc

• Ophthalmology Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.