Susan S. Amos M.D.P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01031117 Issued in IN

Legal business name

SUSAN S. AMOS M.D.P.C.

Practice address

2929 S 1St St
Suite 3
Terre Haute, IN 47802-3725

Phone

(812) 232-2936

Fax

(812) 232-9536

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan S. Amos, M.D.

Title

President

Phone

(812) 232-2936

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1821320920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S 1ST ST",
            "address_2": "SUITE 3",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023725",
            "telephone_number": "812-232-2936",
            "fax_number": "812-232-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S 1ST ST",
            "address_2": "SUITE 3",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023725",
            "telephone_number": "812-232-2936",
            "fax_number": "812-232-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN S. AMOS M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-232-2936",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.