Provider Demographics
NPI:1801814876
Name:HJORT, AMY NICHOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:NICHOLE
Last Name:HJORT
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:PO BOX 480
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93902-0480
Mailing Address - Country:US
Mailing Address - Phone:831-582-2100
Mailing Address - Fax:831-886-1529
Practice Address - Street 1:23845 HOLMAN HWY
Practice Address - Street 2:227
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5900
Practice Address - Country:US
Practice Address - Phone:831-582-2100
Practice Address - Fax:831-620-0304
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97918207V00000X
CAA85802207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277834300Medicaid
FL277834300Medicaid
FLAD070ZMedicare PIN