Provider Demographics
NPI:1083816839
Name:AKINS, AMY BAUMGARTNER (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:BAUMGARTNER
Last Name:AKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 E MARSHALL ST
Mailing Address - Street 2:THIRD FLOOR NORTH, SUITE 300
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5414
Mailing Address - Country:US
Mailing Address - Phone:610-436-8611
Mailing Address - Fax:610-436-1193
Practice Address - Street 1:440 E MARSHALL ST
Practice Address - Street 2:THIRD FLOOR NORTH, SUITE 300
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5414
Practice Address - Country:US
Practice Address - Phone:610-436-8611
Practice Address - Fax:610-436-1193
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI13288208000000X
PAMD446970208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics