Provider Demographics
NPI:1851513014
Name:SPIVEY, AMY RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:RENEE
Last Name:SPIVEY
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 1:2485 DIRECTORS ROW STE D
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-4907
Mailing Address - Country:US
Mailing Address - Phone:317-941-7338
Mailing Address - Fax:513-523-4353
Practice Address - Street 1:2485 DIRECTORS ROW STE D
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-4907
Practice Address - Country:US
Practice Address - Phone:317-941-7338
Practice Address - Fax:513-523-4353
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.094162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine