Provider Demographics
NPI:1386697985
Name:ZIPPAY, AMY M (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:ZIPPAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:KRAMPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12639 OLD TESSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2786
Mailing Address - Country:US
Mailing Address - Phone:314-849-0311
Mailing Address - Fax:314-849-4423
Practice Address - Street 1:12639 OLD TESSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2786
Practice Address - Country:US
Practice Address - Phone:314-849-0311
Practice Address - Fax:314-849-4423
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004007510208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO122950120Medicare PIN
MO921671602OtherMEDICARE
MO192754OtherBLUE CROSS BLUE SHIELD
MO2003198OtherUNITED HEALTHCARE
MO0162570001Medicare NSC
MOP00603959OtherMEDICARE RAILROAD
MOI18000Medicare UPIN
MO111738OtherHEALTHLINK
MO338801OtherGHP