Individual provider Active NPI

Amanda Joy Meyer, DO

  • Internal Medicine Physician
  • Sierra Vista, AZ
National Provider Identifier
1760975924
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
009078 Issued in AZ
Practice address
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone
(520) 263-2000
NPI assigned
Jun 12, 2018
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 009078 AZ Primary

Addresses

Primary practice location

5700 E Highway 90
Sierra Vista, AZ 85635-9110

Mailing address

1295 Cottonwood Dr
Sierra Vista, AZ 85635-1395
Phone (818) 324-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211001002681 AZ Practitioner - Internal Medicine 1355749508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Arizona PCGroup PAC ID 0648441006, 14 clinicians

Practice addresses (Care Compare)

5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (520) 417-4594

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009078AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
American Physicians, Inc. CurrentSince Oct 15, 2022 Accepting new patients
American Physicians, Inc Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
RCHP-Sierra Vista Inc Past Accepting new patients

Locations

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1760975924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 COTTONWOOD DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351395",
            "telephone_number": "818-324-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856359110",
            "telephone_number": "520-263-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "009078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.