AMY INDORF (NPI# 1033295951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033295951 |
| Entity Type | Individual |
| Full Name | AMY INDORF |
| Credential | MD |
| Practice Address |
1320 Mercy Dr Nw Canton OH 44708-2614 |
| Practice Telephone | 3305804706 |
| Practice Fax Number | 3305804707 |
| Mailing Telephone | 3305804706 |
| Mailing Fax Number | 3305804707 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35057637I | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP MEDICAID | 2157366 | 01 |
| OH | GROUP MEDICARE - MPCC | 9303389 | 01 |
| OH | 0997131 | 05 | |
| GROUP NPI | 1902827876 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Street Address |
1320 MERCY DR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206230 | Community Dialysis Units, LLC | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2005-06-22 |
| 1295333193 | Danielle Kaya | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-10-13 | |
| 1831796655 | Melissa Lynn Alex | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-05 |
| 1902403181 | Katherine Mary Anderson | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-01 |
| 1154938496 | Kristen Nicole Wheeler | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1669089801 | Mary Lou Keener | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
| 1124633474 | Lauren Angus | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-09-14 |
| 1316550189 | Ryan Daniel Hickey | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-31 |
| 1669082772 | Cynthia Marie Colt | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316339104 | Premier Specialists In Infectious Disease, LLC | Internal Medicine | 4316 Dressler Rd Nw, Canton, OH 44718-2752 | 2015-03-03 |
| 1104099266 | Aneela Yaqoob | Internal Medicine | 3515 Parklawn Dr, Canton, MI 48188-2315 | 2008-04-09 |
| 1417070590 | Fadi Abu Yasin | Internal Medicine | 47166 Michigan Ave, Canton, MI 48188-2583 | 2007-04-06 |
| 1770600652 | Gabriel R Galang | Internal Medicine | 128 Wertz Avenue Nw, Suite C, Canton, OH 44708 | 2007-03-23 |
| 1467430934 | Ronald Anthony Shubert | Internal Medicine | 3501 Tuscarawas St W, Canton, OH 44708-5640 | 2006-01-05 |
| 1992701130 | Marcantonio Fiorentino | Internal Medicine | 128 Wertz Ave Nw, Suite C, Canton, OH 44708 | 2005-06-22 |
| 1366706301 | Syed M Ala Md Pllc | Internal Medicine | 41750 Michigan Ave, Canton, MI 48188-2679 | 2012-06-25 |
| 1861782633 | Daniel Morton Soule | Internal Medicine | 80 E Main St, Canton, NY 13617-1450 | 2011-04-14 |
| 1497968903 | Badie Al Nemr | Internal Medicine | 128 Wertz Ave Nw, Suite C, Canton, OH 44708 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902422470 | Aids Healthcare Foundation | Internal Medicine | 815 W Broad St # 350, Columbus, OH 43222-1464 | 2020-06-22 |
| 1801378302 | Nicole M Cleland | Internal Medicine | 540 Parmalee Ave Ste 610, Youngstown, OH 44510-1605 | 2018-08-30 |
| 1104222603 | Mohammad Ali Rai | Internal Medicine | 200 Eden Avenue, Cincinnati, OH 45219-0001 | 2014-11-10 |
| 1114335601 | Francis Gertrudis Wadskier Montagne | Internal Medicine | 400 Matthew St Ste 202, Marietta, OH 45750-1656 | 2014-07-28 |
| 1669895660 | Harrison Bradford Hawley | Internal Medicine | 6761 Trailview Dr, Dayton, OH 45414-2165 | 2014-01-27 |
| 1225472376 | Rishi Sharma | Internal Medicine | 3609 Park East Dr., Suite 207, Beachwood, OH 44122-4309 | 2013-04-19 |
| 1811277460 | Klaus Infectious Disease LLC | Internal Medicine | 837 Park St, Columbus, OH 43215-1441 | 2011-08-26 |
| 1538450580 | Infectious Disease Physicians, LLC | Internal Medicine | 3864 Maple Grove Ln, Dayton, OH 45440-4502 | 2011-04-26 |
| 1003110685 | Charles Harding King | Internal Medicine | 5550 Vanture Drive, Cuyahoga County Board of Health, Parma, OH 44130-9315 | 2010-12-22 |
| 1851603799 | Ohio Wound and Hyperbaric Center, LLC | Internal Medicine | 2400 Miami Valley Dr Ste 220, Miami Valley Hospital, Centerville, OH 45459-4774 | 2010-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.