Provider Demographics
NPI:1538311170
Name:HUNT, AMY M (PA-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:HUNT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:ROBINSON,WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 913
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-0913
Mailing Address - Country:US
Mailing Address - Phone:417-766-8002
Mailing Address - Fax:888-773-3706
Practice Address - Street 1:2918 E BATTLEFIELD ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4016
Practice Address - Country:US
Practice Address - Phone:417-766-8002
Practice Address - Fax:888-773-3706
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008030190363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
431560263OtherTRICARE WEST
P00653969OtherRAILROAD MEDICARE
P00653969OtherRAILROAD MEDICARE