Gwynn Amoroso, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051398 Issued in PA

Practice address

2342 S Broad St
Philadelphia, PA 19145-4451

Phone

(215) 462-8700

Fax

(215) 462-8704

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gwynn Buchanan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Frank D. Caporusso, MD, PC

  • Pulmonary Disease Physician
  • Philadelphia, PA
  • NPI 1801993183
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1609989631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454451",
            "telephone_number": "215-462-8700",
            "fax_number": "215-462-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454451",
            "telephone_number": "215-462-8700",
            "fax_number": "215-462-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOROSO",
        "first_name": "GWYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA000920",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWYNN",
            "last_name": "BUCHANAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amongst Family Homecare LLC
• Amor Home Care Services LLC
• Amore Home Care, LLC.
• Valerianna Amorosa, MD
• Christopher Joseph Amoroso, CRNA
• Jenna Amoroso, M.A.
• Gwenn Amos, OD
• Gbenade Amosu
• Nana Yaa Agyeiwaa Anokwaa Ampaw, MBCHB
• Ampersand Health - de, LLC

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.