Anthony M Amigo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11268R Issued in LA

Practice address

338 Moreau St
Marksville, LA 71351-2956

Phone

(318) 253-5647

Fax

(318) 253-5876

NPI assigned

Sep 15, 2005

Last updated

Mar 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Premier Medical Practice

  • Clinic/Center
  • Marksville, LA
  • NPI 1437188570
  Authorized official Same address or phone

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1972598944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 MOREAU ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512956",
            "telephone_number": "318-253-5647",
            "fax_number": "318-253-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MOREAU ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512956",
            "telephone_number": "318-253-5647",
            "fax_number": "318-253-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIGO",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11268R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664839",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A&B Healthcare Solutions LLC
• A&B Mobility Solutions LLC
• Advance la Medical LLC
• Alexandria Eye and Laser Center, LLC (Louisiana Eye & Laser)
• All About Eyewear LLC
• Kathleen Anthony, PA
• Tiffany Arceneaux
• Ashley Ard
• Terry Armand
• Atlas Chiropractic Center

• Internal Medicine Physician in Marksville, LA
• Providers in Marksville, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.