Active NPI
Amy G Proffer PA
- Anesthesiology Physician
- Amarillo, TX
National Provider Identifier
1861626319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M0872
- Legal business name
- AMY G PROFFER PA
- Practice address
- 7100 SW 9TH Ave
Amarillo, TX 79106-1704 - Phone
- (806) 351-1560
- Fax
- (806) 351-0343
- NPI assigned
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lonetta Ingram
- Title
- Office Manager
- Phone
- (806) 351-1560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M0872 | TX | Primary |
Addresses
Primary practice location
7100 SW 9TH Ave
Amarillo, TX 79106-1704
Mailing address
PO Box 50360
Amarillo, TX 79159-0360
Phone (806) 351-1560
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1861626319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50360",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791590360",
"telephone_number": "806-351-1560",
"fax_number": "806-351-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 SW 9TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061704",
"telephone_number": "806-351-1560",
"fax_number": "806-351-0343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY G PROFFER PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "INGRAM",
"authorized_official_first_name": "LONETTA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "806-351-1560"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TX",
"license": "M0872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.