NPIMap

Individual provider Active NPI

Amanda Lynn O'Leary, PA-C

  • Medical Physician Assistant
  • Salisbury, MD
National Provider Identifier
1922317916
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004310 Issued in MD
Practice address
659 S Salisbury Blvd
Suite 2
Salisbury, MD 21801-5453
Phone
(410) 543-2020
Fax
(410) 543-2302
NPI assigned
Sep 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0004310 MD Primary

Addresses

Primary practice location

659 S Salisbury Blvd
Suite 2
Salisbury, MD 21801-5453

Mailing address

659 S Salisbury Blvd
Suite 2
Salisbury, MD 21801-5453
Phone (410) 543-2020

Other names 1

  • Miss Amanda Lynn Black Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000037 PA Practitioner - Physician Assistant 9739405341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

21 Franklin Village Mall
Suite 2
Kittanning, PA 16201-8803
Phone (844) 282-4370

24 Doctors LN
Clarion, PA 16214-8574

432 3Rd Ave
Ford City, PA 16226-1003
Phone (833) 906-0106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004310MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Sep 12, 2022 Accepting new patients
Butler Medical Providers CurrentSince Sep 12, 2022 Accepting new patients
Butler Medical Providers Past Accepting new patients
Joy Madarang-Lewis M.D., P.a. PastSince Nov 1, 2007 Accepting new patients

Locations

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

432 3rd Ave
Ford City, PA 16226
Phone (724) 763-9200

21 Franklin Village Mall
Ste 2
Kittanning, PA 16201
Phone (724) 543-1386

21 Franklin Village Mall
Ste 1
Kittanning, PA 16201
Phone (833) 906-0106

Interoperability endpoints

  • Direct secure messaging: amanda.oleary@direct-address.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1922317916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015453",
            "telephone_number": "410-543-2020",
            "fax_number": "410-543-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015453",
            "telephone_number": "410-543-2020",
            "fax_number": "410-543-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-25",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BLACK",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.