Provider Demographics
NPI:1437168507
Name:AMERICO, AMY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ANN
Last Name:AMERICO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:1500 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5229
Practice Address - Country:US
Practice Address - Phone:757-585-2250
Practice Address - Fax:757-585-2061
Is Sole Proprietor?:No
Enumeration Date:2006-08-06
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101049682208M00000X
NC200301317208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7600228OtherUHC
NC1351WOtherBCBS NC
NC891351WMedicaid
NC9928610OtherCIGNA
NCD1612OtherMEDCOST
NCP00110742OtherRAILROAD MEDICARE
NCD1612OtherMEDCOST
NC$$$$$$$$$OtherTRICARE
NC9928610OtherCIGNA