MEDICARE: MRS. AMY L BIGGS PA-C

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	363A00000X	Physician Assistant	PA9105616	FL
2	363A00000X	Physician Assistant	AMD-603	HI

General Provider Information

NPI Number	:	1609940964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY L BIGGS PA-C

Provider Business Mailing Address
First Line	:	92-1071 KOIO DR APT F
Second Line	:
City	:	KAPOLEI
State	:	HI
Zip	:	96707-2266
Country	:	US
Telephone Number	:	954-683-7479
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 KAPIOLANI BLVD STE 2020
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-4408
Country	:	US
Telephone Number	:	808-633-8585
Fax Number	:

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/17/2018

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