Amy P Tortorich PC
Organization Active NPI Critical Care Medicine (Internal Medicine) Physician · Cheyenne, WY
NPI 1649519554 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1649519554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 8534A (WY)
- Legal business name
- AMY P TORTORICH PC
- Practice address
- 1916 House Ave
Cheyenne, WY 82001-3720 - Phone
- (307) 459-2626
- Fax
- (307) 459-4121
- NPI assigned
- Feb 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Amy Tortorich, D.O.
- Title
- President
- Phone
- (307) 459-2626
Practitioners 1
-
Amy Tortorich, D.O
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130308000268 | WY | Part B Supplier - Clinic/Group Practice | 4688829005 |
Receives reassigned benefits from 1 practitioner Practice locations: Cheyenne, WY |
National Provider Directory
Locations
1916 House Ave
Cheyenne, WY 82001
Phone (307) 459-2626
214 E 23rd St
#P
Cheyenne, WY 82001
Phone (307) 459-2626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | 8534A | WY | Yes |
Addresses
Primary practice location
1916 House Ave
Cheyenne, WY 82001-3720
Mailing address
PO Box 4217
Cheyenne, WY 82003-4217
Phone (307) 222-9141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568654911 | Other | WY | MEDICARE NPI |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.