Amy Miceli DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

AMY MICELI DPM LLC

Practice address

Penn State Health Holy Spirit Medical Center
503 N. 21St Street
Camp Hill, PA 17011-2204

Phone

(717) 763-2100

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Amy Lynn Louise Miceli, DPMNPI 1932515756

Title

Owner

Phone

(717) 439-1766

Specialties & licenses 7

Addresses

Other names 2

• Amy Miceli, DPM Other name
• Dr. Amy Miceli Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Miceli, D.P.M.

  • Podiatrist
  • Camp Hill, PA
  • NPI 1932515756

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1760223176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 STRAFFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170116206",
            "telephone_number": "717-439-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER",
            "address_2": "503 N. 21ST STREET",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-763-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Penn State Health Hampden Medical Center",
            "address_2": "2200 Good Hope Road",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251210",
            "country_code": "US",
            "telephone_number": "717-981-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMY MICELI DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-439-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Miceli, DPM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Amy Miceli, DPM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. Amy Miceli",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• American Homecare Supply Co (American Home Medical Equipment Co)
• April Heaven Amigo
• Amita Sharma Nayyar M.D., P.C.
• Lee Owen Ammerman, DMD
• Gladys Amparo
• And Yet; Counseling, LLC
• Elizabeth Joan Anderson, M.D.
• Leia Anderson, ND
• Maureen Anderson
• Melissa Moore Anderson, PT

• Podiatrist in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.