Provider Demographics
NPI:1780642447
Name:SARVER, AMY DEANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:DEANNE
Last Name:SARVER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3333 PINNACLE HILLS PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8952
Mailing Address - Country:US
Mailing Address - Phone:479-464-7171
Mailing Address - Fax:479-464-0030
Practice Address - Street 1:3333 PINNACLE HILLS PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8952
Practice Address - Country:US
Practice Address - Phone:479-464-7171
Practice Address - Fax:479-464-0030
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2014-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE3417207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR148470001Medicaid
ARH42685Medicare UPIN
AR5M359Medicare ID - Type Unspecified