Individual provider Active NPI

Amanda Stephens Dye, M.D.

  • Pediatric Endocrinology Physician
  • Scott Depot, WV
National Provider Identifier
1568626828
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
24421 Issued in WV
Practice address
300 Corporate Center Dr.
Scott Depot, WV 25560
Phone
(304) 691-6800
Fax
(304) 691-6751
NPI assigned
Jul 16, 2008
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 24421 WV Primary

Addresses

Primary practice location

300 Corporate Center Dr.
Scott Depot, WV 25560

Mailing address

63 Corporate Center Dr
Scott Depot, WV 25560-7841
Phone (304) 691-8901

Other identifiers 1

IdentifierTypeStateIssuer
3810021067MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.dye@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20111026000143 WV Practitioner - EndocrinologyPractitioner - Pediatric Medicine 9739352493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Pediatric Medicine
Education
West Virginia University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Corporate Ctr Dr
Scott Depot, WV 25560-9026
Phone (304) 691-6800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Apr 5, 2021 Accepting new patients
University Physicians & Surgeons, Inc CurrentSince Apr 5, 2021 Accepting new patients
Youmna Mousattat Past Accepting new patients
Abdallah Dalabih Past Accepting new patients
Cabell Huntington Hospital Inc PastSince Apr 5, 2021 Accepting new patients

Locations

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1568626828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CORPORATE CENTER DR",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255607841",
            "telephone_number": "304-691-8901",
            "fax_number": "304-691-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DR.",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "304-691-6800",
            "fax_number": "304-691-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "AMANDA",
        "middle_name": "STEPHENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "WV",
            "license": "24421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021067",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.dye@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "300 Corporate Center Dr.",
            "city": "Scott Depot",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.