Amanda Michelle Ferrer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S8550 Issued in TX

Practice address

1400 College Dr Ste 204
Texarkana, TX 75503-3575

Phone

(903) 791-1110

Fax

(903) 791-9353

NPI assigned

Jun 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Amanda Michelle Griesbaum Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Quitman Hospital LLCGroup PAC ID 9133484330, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health East Texas Home Health Services Home health agency, Pittsburg, TX, CCN 677037
• Aspen Hospice and Palliative Care Hospice, San Antonio, TX, CCN 671767
• Ut Health East Texas Quitman Hospital Hospital, Quitman, TX, CCN 451380
• Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
• University of Texas Health Science Center at Tyler Hospital, Tyler, TX, CCN 450690

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aferrer558529@ahs.direct-ci.com

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.

• Etmc Physician Group Inc.

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1609382662
  Medicare reassignment Care Compare group NPD
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Chandler, TX
  • NPI 1235706581
  NPD
• Quitman Hospital LLC

  • Rural Health Clinic/Center
  • Canton, TX
  • NPI 1932608452
  NPD (past)

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

• East Texas Home Health Services LLC

  • Home Health Agency
  • Pittsburg, TX
  • NPI 1578061487
  Care Compare affiliation
• Quitman Hospital LLC

  • Critical Access Hospital
  • Quitman, TX
  • NPI 1477061885
  Care Compare affiliation
• Sixrsig LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1730478603
  Care Compare affiliation
• Tyler Regional Hospital LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1407364847
  Care Compare affiliation
• University of Texas Health Science Center at Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1417941295
  Care Compare affiliation

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1720516719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711326",
            "telephone_number": "903-927-3782",
            "fax_number": "903-927-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COLLEGE DR STE 204",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033575",
            "telephone_number": "903-791-1110",
            "fax_number": "903-791-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541509",
            "country_code": "US",
            "telephone_number": "870-330-9200",
            "fax_number": "870-330-9439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRER",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125070520",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-13398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TX",
            "identifier": "S8550",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E-13398",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GRIESBAUM",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fci Texarkana
• Betty J Feir, PH.D
• Richard L Fender, CRNA
• Christopher Alan Ferguson, DDS
• Gissel Fernandez
• Jeanne A Field Miller, MS, LPC, LMFT, LCDC,
• Vanessa Fields
• First Choice Urgent Care Clinic, PLLC
• Hannah Fitch
• Justin G. Fitts, C.R.N.A.

• Family Medicine Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.