Faye E Ameredes, DO

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

DO22718 Issued in OR

Practice address

2460 NW Stewart Parkway
Suite 104
Roseburg, OR 97471-1516

Phone

(541) 677-4463

Fax

(541) 677-3379

NPI assigned

Nov 6, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Centennial Medical Group Inc.

  • Cardiovascular Disease Physician
  • Roseburg, OR
  • NPI 1033365135
  NPD (past)
• Faye Ameredes DO PC

  • Obstetrics & Gynecology Physician
  • Roseburg, OR
  • NPI 1174794895
  NPD (past)
• Lifecircle Womens Health Care PC

  • Obstetrics Physician
  • Cleveland, TN
  • NPI 1316029663
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1811066822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW MERCY DR STE 340",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712348",
            "telephone_number": "541-677-4319",
            "fax_number": "541-677-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 NW STEWART PARKWAY",
            "address_2": "SUITE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711516",
            "telephone_number": "541-677-4463",
            "fax_number": "541-677-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEREDES",
        "first_name": "FAYE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "DO22718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288143",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Aman
• Anita L Ambrosini, QMHP
• Ambulatory Surgery Center of Roseburg, LLC
• Amedisys Oregon, L.L.C.
• Amedisys Oregon, L.L.C.
• American Dental L.L.C
• Loretta J. Amitrano, FNP
• Jonas Amoah
• Niki Desanto Amsden, PH.D.
• Brenda Anderson, LPN

• Gynecology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.