The Amtag Group LLC

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

THE AMTAG GROUP LLC

Doing business as

Amtag

Practice address

1616 N 18TH St
Saint Louis, MO 63106-3107

Phone

(314) 755-9717

Fax

(314) 755-9717

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By 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

Mr. Damon L Giboney

Title

Coo

Phone

(314) 755-9717

Specialties & licenses 1

Addresses

Other names 1

• AMTAG Doing business as

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1861367203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063107",
            "telephone_number": "314-755-9717",
            "fax_number": "314-755-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063107",
            "telephone_number": "314-755-9717",
            "fax_number": "314-755-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMTAG GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "GIBONEY",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "314-755-9717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMTAG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Thayer, FNP-C
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• Lauren N Thayer
• Sydney Marie Thayer, MD
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• The Arch Community School
• The Biome
• The Biome
• The Boyhood Initiative of Missouri
• The Brain Injury Foundation of St. Louis

• Driver in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Driver in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.