Provider Demographics
NPI:1609940964
Name:BIGGS, AMY L (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:BIGGS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:GROTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:92-1071 KOIO DR APT F
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2266
Mailing Address - Country:US
Mailing Address - Phone:954-683-7479
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 2020
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4408
Practice Address - Country:US
Practice Address - Phone:808-633-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105616363A00000X
HIAMD-603363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant