Active NPI
Amy Jean Harlow, MD
- Pediatric Orthopaedic Surgery Physician
- Fort Myers, FL
National Provider Identifier
1730522350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- ME140060
- Practice address
- 15821 Hollyfern CT
Fort Myers, FL 33908 - Phone
- (239) 432-5100
- NPI assigned
- Apr 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 10825040 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | ME140060 | FL | Primary |
Addresses
Primary practice location
15821 Hollyfern CT
Fort Myers, FL 33908
Mailing address
15821 Hollyfern CT
Fort Myers, FL 33908-3732
Phone (239) 432-5100
Other practice location 1
590 S Wakara Way
Salt Lake City, UT 84108
Phone (801) 581-2121
Other practice location 2
13001 E 17th Pl
University of Colorado School of Medicine GME
Aurora, CO 80045-2570
Phone (303) 724-2947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140060 | FL | MD | Pediatric Orthopaedic Surgery Physician |
| 10825040 | UT | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Orthopedics of Southwest FL | Pediatric Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- aharlow184300@direct.leememorial.org
Organizations & group practices 1
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.
-
- Pediatric Orthopaedic Surgery Physician
- Fort Myers, FL
- NPI 1386786838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1730522350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15821 HOLLYFERN CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083732",
"telephone_number": "239-432-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15821 HOLLYFERN CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33908",
"telephone_number": "239-432-5100"
}
],
"practiceLocations": [
{
"address_1": "590 S Wakara Way",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "84108",
"country_code": "US",
"telephone_number": "801-581-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13001 E 17th Pl",
"address_2": "University of Colorado School of Medicine GME",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "303-724-2947",
"fax_number": "303-724-1593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLOW",
"first_name": "AMY",
"middle_name": "JEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "UT",
"license": "10825040",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "FL",
"license": "ME140060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.