Amy L List
Medical Specialty
Professional ID
- NPI: 1528035060
- PECOS ID: 0840247169
- Enrollment ID: I20050407000940
- Credential(MD, DO, DPM): PA
- Medical School:
- Medical School Graduation Year: 1993
Hospital Service
- Hospital CCN1: 230092
- Business Name (LBN)1: Henry Ford Allegiance Health
- Hospital CCN2: 230156
- Business Name (LBN)2: St Joseph Mercy Hospital
Medical Practices
- Organization Name: Iha Health Services Corporation
- Group Practice ID assigned by PECOS: 2466351440
- Number of Group Practice member: 565
Location
- Address1: 2305 Genoa Business Park Dr
- Address2:
- City: Brighton
- State: Michigan
- Zip Code: 48114
- Phone Number:
Location
- Address1: 309 Page Ave Michigan Heart Pc
- Address2:
- City: Jackson
- State: Michigan
- Zip Code: 49201
- Phone Number: (517)787-1234
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):