NPIMap

Individual provider Active NPI

Amy C Wigand, M.D.

  • Diagnostic Radiology Physician
  • Jasper, IN
National Provider Identifier
1619060290
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40248 Issued in KY
Practice address
800 W 9TH St
Jasper, IN 47546-2514
Phone
(812) 482-0524
Fax
(812) 482-0549
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40248 KY Primary

Addresses

Primary practice location

800 W 9TH St
Jasper, IN 47546-2514

Mailing address

721 W 13TH St
Jasper, IN 47546-1855
Phone (812) 481-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070828000591 IN Practitioner - Diagnostic Radiology 9830295112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5066 N 900
Coutry Health Center
Montgomery, IN 47558-5790
Phone (812) 486-3396

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Oct 1, 2014 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Oct 1, 2014 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
University Radiological Associates, PSC Diagnostic Radiology Past Accepting new patients
Dubois Co Phy Services Past Accepting new patients
University Physicians Group - Radiology Diagnostic Radiology Past Accepting new patients
Patoka Valley Radiology, PC Diagnostic Radiology Past Accepting new patients

Locations

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

695 2nd St
Ste A2
Jasper, IN 47546
Phone (812) 996-5950

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

5066 N 900 E
Montgomery, IN 47558
Phone (812) 481-7200

Organizations & group practices 8

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1619060290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461855",
            "telephone_number": "812-481-2240",
            "fax_number": "812-481-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462514",
            "telephone_number": "812-482-0524",
            "fax_number": "812-482-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGAND",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "40248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.