Douglas Edward Amis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10381 Issued in GA

Practice address

240 S Main St
Wolfeboro, NH 03894-4411

Phone

(603) 569-7500

Fax

(603) 515-2031

NPI assigned

Oct 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO, TX, DE, WA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley View Hospital Association 205 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Valley View Hospital Association

  • Emergency Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1114654795

  CO

  Medicare reassignment Care Compare group NPD
• Yuma District Hospital

  • Critical Access Hospital Clinic/Center
  • Yuma, CO
  • NPI 1841343407

  CO

  Medicare reassignment NPD
• Valley View Hospital Association

  • Urgent Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1790397008
  Care Compare group NPD
• Colorado Hospitalist Services, PLLC

  • Hospitalist Physician
  • Englewood, CO
  • NPI 1265806178

  CO

  Medicare reassignment
• Colorado Permanente Medical Group, P.C.

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1760599724

  CO

  Medicare reassignment
• Grant County Public Hospital District 3

  • Emergency Medical Services (Emergency Medicine) Physician
  • Ephrata, WA
  • NPI 1134283930

  WA

  Medicare reassignment
• Maniilaq Association

  • Rural Acute Care Hospital
  • Kotzebue, AK
  • NPI 1861698805

  TX

  Medicare reassignment
• Valley View Hospital Association

  • Family Medicine Physician
  • Carbondale, CO
  • NPI 1275804890
  Care Compare group
• Valley View Hospital Association

  • Community/Retail Pharmacy
  • Glenwood Springs, CO
  • NPI 1295277812
  Care Compare group
• Valley View Hospital Association

  • Emergency Medicine Physician
  • Glenwood Springs, CO
  • NPI 1326620063
  Care Compare group
• Valley View Hospital Association

  • Neurological Surgery Physician
  • Aspen, CO
  • NPI 1376134841
  Care Compare group
• Valley View Hospital Association

  • Orthopaedic Surgery Physician
  • Glenwood SPGS, CO
  • NPI 1386058188
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Valley View Hospital Association

  • Ambulatory Surgical Clinic/Center
  • Basalt, CO
  • NPI 1649885849

  Hospital

  Care Compare affiliation
• Valley View Hospital Association

  • General Acute Care Hospital
  • Glenwood Springs, CO
  • NPI 1982668133

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1992956353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-7500",
            "fax_number": "603-515-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIS",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "2211",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2684",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1031",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "021137",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66500753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Aiken, WAIVER
• Heather Fara-Cohen Ajzenman, OTD, OTR/L, HPCS
• Dawn Alie
• Wendy Lee Allen, LICSW
• Anne Marie Lackey Allwine
• Christina Marie Anderson, M.D.
• Erica Andujar
• Pauline D. Archambault, PT, MPT
• Robert Raymond Arndt, PHARMD.
• Olasunkanmi Ahmed Aromaye, PHYSICIAN ASSISTANT

• All providers in Wolfeboro, NH
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.