Individual provider Active NPI

Amy Smith Ende, M.D.

  • Pediatrics Physician
  • Marion, NC
National Provider Identifier
1730179193
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9600905 Issued in NC
Practice address
2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone
(828) 652-8727
Fax
(828) 652-8793
NPI assigned
Oct 26, 2005
Last updated
Feb 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9600905 NC Primary

Addresses

Primary practice location

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787

Mailing address

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone (828) 652-8727

Other identifiers 5

IdentifierTypeStateIssuer
891034XMedicaidNC
9202504OtherAETNA
1034XOtherNCBCBS ID #
1730179193MedicaidNC
1536909OtherNCCIGNA ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240611001511 NC Practitioner - Pediatric Medicine 2860934429

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Apr 28, 2024 Accepting new patients
/Svpblue Ridge Healthcare Medcal Group, Inc Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Pediatrics Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727

Interoperability endpoints

  • Direct secure messaging: aende881239@direct.unc.nchie.net

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1730179193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 SUGAR HILL RD STE D",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287527787",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 SUGAR HILL RD STE D",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287527787",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDE",
        "first_name": "AMY",
        "middle_name": "SMITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9600905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891034X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9202504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "1034X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730179193",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID #",
            "identifier": "1536909",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.