Organization Active NPI

Amy G Proffer M. D.

  • Pediatric Anesthesiology Physician
  • Amarillo, TX
National Provider Identifier
1972704872
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
M0872 Issued in TX
Legal business name
AMY G PROFFER M. D.
Practice address
7100 W 9TH Ave
Amarillo, TX 79106-1704
Phone
(806) 351-1560
Fax
(806) 351-0343
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Amy G Proffer, M. D.
Title
Owner
Phone
(806) 351-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP3000X M0872 TX Primary

Addresses

Primary practice location

7100 W 9TH Ave
Amarillo, TX 79106-1704

Mailing address

PO Box 50360
Amarillo, TX 79159-0360
Phone (806) 351-1560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1972704872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50360",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590360",
            "telephone_number": "806-351-1560",
            "fax_number": "806-351-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061704",
            "telephone_number": "806-351-1560",
            "fax_number": "806-351-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY G PROFFER M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "PROFFER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-351-1560",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TX",
            "license": "M0872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.