MEDICARE: JAMES JOHN AMOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	52688-020	WI
2	2084P0800X	Psychiatry Physician	29828	IA
3	2084P0015X	Psychosomatic Medicine Physician	29828	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	60883	OTHER	WI	DEAN HEALTH INSURANCE

General Provider Information

NPI Number	:	1972573921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES JOHN AMOS MD

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1007
Country	:	US
Telephone Number	:	319-353-6314
Fax Number	:	319-356-2587

Provider Business Practice Location Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1007
Country	:	US
Telephone Number	:	319-353-6314
Fax Number	:	319-356-2587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	01/19/2010

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Directions to “ JAMES JOHN AMOS MD” Practice Location

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