Amy Dawn Chidester, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD435736 Issued in PA

Practice address

2314 Sassafras St
Suite 200
Erie, PA 16502-2722

Phone

(814) 454-4484

NPI assigned

Oct 12, 2007

Last updated

Oct 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Dawn Patton Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: achidester267661@direct.unc.nchie.net
• Direct secure messaging: achidester2792146@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: amychidester@arhs.allscriptsdirect.net

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.

• Appalachian Regional Medical Associates, Inc.

  dba Appalachian Gastroenterology

  • Family Medicine Physician
  • Boone, NC
  • NPI 1669533923
  Medicare reassignment NPD
• Saint Vincent Medical Education and Research Institute

  dba Albion Family Practice

  • Family Medicine Physician
  • Albion, PA
  • NPI 1558462259
  NPD (past)
• Charles E Baker MD PA

  • Family Medicine Physician
  • Linville, NC
  • NPI 1851577225
  NPD (past)
• Uhs Ventures

  dba UT Urgent Care Centers

  • Urgent Care Clinic/Center
  • Sevierville, TN
  • NPI 1235669680
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1770771966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 PEACH ST",
            "address_2": "SUITE LL1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082768",
            "telephone_number": "814-860-5036",
            "fax_number": "814-860-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "SUITE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022722",
            "telephone_number": "814-454-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDESTER",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD435736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PATTON",
            "middle_name": "DAWN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sophia Ravy Chhay, PHARM.D.
• CHI Mind Health
• Domenico Chiariello, PH.D.
• Chic Wigs LLC (Chic Wigs)
• Glenn Phelps Chichester, R. PH
• George Michael Chilcott, PTA
• Kristan Chilcott
• Margaret Eileen Chilcott, D.O.
• Sharon Elizabeth Chilcott, PTA
• Children's Community Care (Children's Community Pediatrics)

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.