Provider Demographics
NPI:1861440547
Name:CHOW, AMY Y (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:Y
Last Name:CHOW
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 1:296 NE TUDOR RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5696
Mailing Address - Country:US
Mailing Address - Phone:816-600-6236
Mailing Address - Fax:816-600-6189
Practice Address - Street 1:296 NE TUDOR RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5696
Practice Address - Country:US
Practice Address - Phone:816-600-6236
Practice Address - Fax:816-600-6189
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000166665207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205991409Medicaid
MO050087424OtherRR MEDICARE NUMBER
MO100422690AMedicaid
MO31641015OtherBCBS NUMBER
MOH49926Medicare UPIN
MOJ24B823Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER