Active NPI
Amy Michelle Rose, PA-C
- Physician Assistant
- Creve Coeur, MO
National Provider Identifier
1992949531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2009009277
- Practice address
- 633 Emerson Rd Ste 10
Creve Coeur, MO 63141-6739 - Phone
- (314) 991-2150
- Fax
- (314) 991-2149
- NPI assigned
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2009009277 | MO | Primary |
Addresses
Primary practice location
633 Emerson Rd Ste 10
Creve Coeur, MO 63141-6739
Mailing address
633 Emerson Rd Ste 10
Creve Coeur, MO 63141-6739
Phone (314) 991-2150
Other practice location 1
8225 Clayton Rd
Saint Louis, MO 63117-1107
Phone (314) 721-7325
Other names 1
- Amy Michelle Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Health LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Creve Coeur, MO
- NPI 1235571134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1992949531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 EMERSON RD STE 10",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416739",
"telephone_number": "314-991-2150",
"fax_number": "314-991-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 EMERSON RD STE 10",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416739",
"telephone_number": "314-991-2150",
"fax_number": "314-991-2149"
}
],
"practiceLocations": [
{
"address_1": "8225 Clayton Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171107",
"country_code": "US",
"telephone_number": "314-721-7325",
"fax_number": "314-721-1157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "AMY",
"middle_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2009009277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SMITH",
"middle_name": "MICHELLE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.