Provider Demographics
NPI:1568454965
Name:AMIS, JAMES ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANTHONY
Last Name:AMIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6681 WATERS EDGE CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9247
Mailing Address - Country:US
Mailing Address - Phone:513-248-2906
Mailing Address - Fax:
Practice Address - Street 1:3219 CLIFTON AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-3045
Practice Address - Country:US
Practice Address - Phone:513-751-3668
Practice Address - Fax:513-751-0023
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH38052917A207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0900726OtherUNITED HEALTCARE
OH365763400OtherUS DEPT OF LABOR
OH000000038975OtherANTHEM
OH0608515Medicaid
OH45493825005OtherMEDICAL MUTUAL
OH2096744OtherAETNA
OH2843407OtherCIGNA
OH311643349OtherPRIVATE INSURANCE
OH000000038975OtherANTHEM
OH45493825005OtherMEDICAL MUTUAL
OH311643349OtherPRIVATE INSURANCE