Individual provider Active NPI

Amanda Helen Feusner, MD

  • Emergency Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1720094980
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME70498 Issued in FL
Practice address
3231 McMullen Booth Rd
Safety Harbor, FL 34695
Phone
(727) 725-6100
Fax
(727) 725-6118
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME70498 FL Primary

Addresses

Primary practice location

3231 McMullen Booth Rd
Safety Harbor, FL 34695

Mailing address

421 20TH Ave
Indian Rocks Beach, FL 33785-2929
Phone (727) 517-3881

Other names 1

  • Amanda Feusner Hidalgo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100512001010 FL Practitioner - Emergency Medicine 4284762295 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70498FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasco County Emergency Physicians LLC Emergency Medicine CurrentSince Sep 16, 2012 Accepting new patients
Bay Area Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Florida Em-I Medical Services, PA Emergency Medicine Past Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1720094980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 20TH AVE",
            "city": "INDIAN ROCKS BEACH",
            "state": "FL",
            "postal_code": "337852929",
            "telephone_number": "727-517-3881",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 MCMULLEN BOOTH RD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "34695",
            "telephone_number": "727-725-6100",
            "fax_number": "727-725-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUSNER",
        "first_name": "AMANDA",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME70498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FEUSNER HIDALGO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.