NPIMap

Individual provider Active NPI

Heather Marie Amos, DO

  • Family Medicine Physician
  • Apollo Beach, FL
National Provider Identifier
1962672584
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11970 Issued in FL
Practice address
6488 N US Highway 41
Apollo Beach, FL 33572-1804
Phone
(813) 844-7500
Fax
(813) 844-1141
NPI assigned
Mar 11, 2008
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11970 FL Primary
Family Medicine Physician 207Q00000X 20757 MS

Addresses

Primary practice location

6488 N US Highway 41
Apollo Beach, FL 33572-1804

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-7500

Other identifiers 1

IdentifierTypeStateIssuer
008387400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hamos122852@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130506000174 FL Practitioner - Family Practice 9830228584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

6488 N US Hwy 41
Apollo Beach, FL 33572-1804
Phone (813) 844-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20757MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Nov 19, 2016 Accepting new patients
Tampa General Medical Group Inc CurrentSince Nov 19, 2016 Accepting new patients
Tampa General Medical Group Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pensacola Primary Care Inc Family Medicine Past Accepting new patients

Locations

6488 N US Highway 41
Apollo Beach, FL 33572
Phone (813) 844-7500

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1962672584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-7500",
            "fax_number": "813-844-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 N US HIGHWAY 41",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721804",
            "telephone_number": "813-844-7500",
            "fax_number": "813-844-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11970",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008387400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hamos122852@direct.tgh.org",
            "affiliation": "N",
            "address_1": "6488 N US Highway 41",
            "city": "Apollo Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335721804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

Verify at the official NPI Registry.