Individual provider Active NPI

Amanda Feeney, MD

  • Emergency Medicine Physician
  • Westminster, MD
National Provider Identifier
1962992131
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0091823 Issued in MD
Practice address
200 Memorial Ave
Westminster, MD 21157-5726
Phone
(410) 848-3000
NPI assigned
May 14, 2018
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30398 WV
Emergency Medicine Physician 207P00000X D0091823 MD Primary

Addresses

Primary practice location

200 Memorial Ave
Westminster, MD 21157-5726

Mailing address

12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111

Other practice location 1

300 S Preston St
Ranson, WV 25438-1631
Phone (304) 728-1600

Other practice location 2

11234 Anderson Street
GME Office Westerly Suite C
Loma Linda, CA 92354
Phone (909) 558-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210720000471 WV Practitioner - Emergency Medicine 4688077357
I20210720000611 MD Practitioner - Emergency Medicine 4688077357 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091823MDMDEmergency Medicine Physician
30398WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2021 Accepting new patients
Jefferson Memorial Hospital Current Accepting new patients
Jefferson Memorial Hospital CurrentSince Aug 11, 2022 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Jefferson Memorial Hospital CurrentSince Aug 11, 2022 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: afeeney294965@direct.wvuhsdirect.com
  • Direct secure messaging: afeeney921561@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1962992131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 MILESTONE CENTER DR STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575726",
            "telephone_number": "410-848-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254381631",
            "country_code": "US",
            "telephone_number": "304-728-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson Street",
            "address_2": "GME Office Westerly Suite C",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "92354",
            "country_code": "US",
            "telephone_number": "909-558-4085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "30398",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0091823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.