Individual
DR. AMY A IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3555 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3907
(614) 566-5000
Mailing address
3555 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3907
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35-05-8872-I
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014127
ANTHEM
OH
01
—
028217300
FEDERAL BLACK LUNG
OH
05
—
0674462
—
OH
05
—
0757186
—
OH
01
—
1752330-001
CIGNA
OH
01
—
2966405837-00
BUR OF WORKERS' COMP
OH
01
—
3111906786216
BC/BS
OH
01
—
4880094
UNITED HEALTHCARE
OH
Enumeration date
02/22/2006
Last updated
05/11/2009
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