Melissa Marie Amorn, M.D.
Individual provider Active NPI Otolaryngology Physician · West Chester, OH
NPI 1891948048 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1891948048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 35.151472 (OH)
- Practice address
- 8040 Princeton Glendale Rd
West Chester, OH 45069-5802 - Phone
- (513) 853-9000
- Fax
- (513) 246-5563
- NPI assigned
- Nov 1, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trihealth H LLC
Practice addresses (Care Compare)
8040 Princeton Glendale Rd
West Chester, OH 45069-5802
Phone (513) 853-9250
Hospital & facility affiliations
- Bethesda North
- McCullough-Hyde Memorial Hospital
- Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110819000405 | CA | Practitioner - Otolaryngology | 2668642125 | Reassigns benefits to 1 organization |
| I20241118003319 | OH | Practitioner - Otolaryngology | 2668642125 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115925 | CA | MD | Otolaryngology Physician |
| 149547 | DC | MD | Otolaryngology Physician |
| 35.151472 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth H LLC | Otolaryngology | Current |
Accepting new patients |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
20101 Lake Chabot Rd
Fl 3
Castro Valley, CA 94546
Phone (510) 886-3400
20101 Lake Chabot Rd
#1
Castro Valley, CA 94546
Phone (510) 886-3400
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180
795 El Camino Real
#1112
Palo Alto, CA 94301
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
8040 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 346-5065
Interoperability endpoints
- mamorn443831@direct.trihealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 149547 | DC | |
| Otolaryngology Physician | 207Y00000X | A115925 | CA | |
| Otolaryngology Physician | 207Y00000X | 35.151472 | OH | Yes |
Addresses
Primary practice location
8040 Princeton Glendale Rd
West Chester, OH 45069-5802
Mailing address
8040 Princeton Glendale Rd
West Chester, OH 45069-5802
Phone (513) 853-9000
Other practice location 1
3687 Mt Diablo Blvd Ste 200
Lafayette, CA 94549-3746
Phone (866) 681-0745
Other practice location 2
20101 Lake Chabot Rd Fl 3
Castro Valley, CA 94546
Phone (510) 204-1844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A115925 | Other | CA | STATE MEDICAL LICENSE |
Other providers in West Chester, OH
- Ameribest Home Health, Inc.
- American Family System LLC
- American Rehab Partners, LLC
- Amerimed, LLC
- Amjo Corp
- Maura Kennedy Anaya
- Jamie Anderchuk
- Derrell Thomas Anderson
- Kimberly Marie Anderson
- Maricela Anderson
All providers in West Chester, OH · Otolaryngology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.