Amanda Maria King, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1119805 Issued in FL

Practice address

21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704

Phone

(855) 979-5700

Fax

(855) 979-5701

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Er2You LLCGroup PAC ID 4880966548, 7 clinicians

Synergy Hospital Services LLCGroup PAC ID 1254874753, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: amanda.king.1@17280.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17280/brand/1/csg/1/fhir/r4

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

• Er2You LLC

  • Urgent Care Clinic/Center
  • Venice, FL
  • NPI 1457701369
  Medicare reassignment Care Compare group NPD
• Synergy Hospital Services LLC

  • Hospitalist Physician
  • Punta Gorda, FL
  • NPI 1508610460
  Medicare reassignment Care Compare group
• M & H Med Housecalls, LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1427548304
  Medicare reassignment
• West Florida Cardiology Network, LLC

  dba The Heart Institute

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1801198023
  Medicare reassignment
• Cardiology Consultants

  dba Heart & Vascular Institute of Florida - South Pinellas

  • Specialist
  • St Petersburg, FL
  • NPI 1811940802
  NPD (past)
• Continuitycare Rehab Corp

  • Hospitalist Physician
  • Port Charlotte, FL
  • NPI 1841164787
  NPD (past)

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

• Adventhealth Port Charlotte Inc

  dba Adventhealth Port Charlotte

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  dba HCA Florida Fawcett Hospital

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406
  Care Compare affiliation

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1922405687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 OLEAN BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526704",
            "telephone_number": "855-979-5700",
            "fax_number": "855-979-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "1119805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakina Khalidi, M.D.
• Asjad U Khan, MD
• Aman Khurana, DO
• Kianoosh Kaveh DO PA (Coastal Nephrology Associates)
• Linda Marie Kilcullen, LMT
• Nadine King, FNP-C APRN
• Kingswaydentalcare Inc.
• Timothy J Kinsella, MD
• Ashley Kintigh
• Samantha Kipfinger

• Physician Assistant in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.