Amy Fitzsimmons, MD , LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD045677L Issued in PA

Legal business name

AMY FITZSIMMONS, MD , LLC

Practice address

44 2ND Street Pike
Suite 200
Southampton, PA 18966-3830

Phone

(215) 322-7550

Fax

(215) 322-7117

NPI assigned

Oct 5, 2006

Last updated

May 27, 2008By 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

Amy Fitzsimmons, MDNPI 1992790927

Title

Owner

Phone

(215) 322-7550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Fitzsimmons, MD

  • Physical Medicine & Rehabilitation Physician
  • Southampton, PA
  • NPI 1992790927
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1861588840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 2ND STREET PIKE",
            "address_2": "SUITE 200",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663830",
            "telephone_number": "215-322-7550",
            "fax_number": "215-322-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 2ND STREET PIKE",
            "address_2": "SUITE 200",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663830",
            "telephone_number": "215-322-7550",
            "fax_number": "215-322-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY FITZSIMMONS, MD , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-322-7550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD045677L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1898500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Southampton, PA
• Providers in Southampton, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.