KENT S QUINN (NPI# 1083609184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083609184 |
Entity Type | Individual |
Full Name | KENT S QUINN |
Credential | MD |
Practice Address |
1 Good Samaritan Way Attn Radiology Dept Mount Vernon IL 62864-2402 |
Mailing Address |
Po Box 66971 Dept Mr Saint Louis MO 63166-6971 |
Practice Telephone | 6182424600 |
Practice Fax Number | 6182424600 |
Mailing Telephone | 3034650401 |
Mailing Fax Number | 3034381351 |
Enumeration Date | 2005-09-14 |
Last Update Date | 2016-07-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
21181 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 7191098* | 05 |
Street Address |
1 GOOD SAMARITAN WAY ATTN RADIOLOGY DEPT |
City | MOUNT VERNON |
State | IL |
Zip Code | 62864-2402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470206 | Brittany L Jerger | Registered Nurse | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2020-06-08 |
1407418619 | Annie Rae Lowery | Registered Nurse | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2019-07-08 |
1366951436 | Roxanna Elise Stevens | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2017-09-21 |
1871022095 | Mathavi Sahadevan | Internal Medicine | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2017-06-09 |
1326589680 | Amber Dawn Willis | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2017-03-19 |
1194269597 | Good Samaritan Regional Health Center | Anesthesiology | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-12-05 |
1710439112 | Nicole Michelle Boyd | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-11-01 |
1588115810 | Cristina Myers | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-10-21 |
1144771692 | Misty Dawn Wernsman | Nurse Practitioner | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-10-19 |
1821442179 | Midwest Emergency Good Samaritan | Emergency Medicine | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 2016-04-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
Find all providers in zip 62864 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093782211 | James R Williams | Radiology | 600 N Main, Mount Vernon, MO 65712-1004 | 2006-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700042363 | Dejana Radulovic | Radiology | 676 North St.clair, 800, Chicago, IL 60611 | 2008-08-04 |
1306000542 | Stephanie Shors | Radiology | 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 | 2008-07-16 |
1760688360 | Matthew Dodaro | Radiology | 6952 Rote Rd, Rockford, IL 61107-2607 | 2007-06-21 |
1518097567 | West Suburban Medical Center | Radiology | 420 William St, Bone Density At Fpc, River Forest, IL 60305-1920 | 2007-03-07 |
1932245578 | Alexander Ree | Radiology | 2160 S. First Ave., Radiology Department, Maywood, IL 60153 | 2007-01-30 |
1467523217 | Brent M Greenberg | Radiology | 1535 Park Ave West, Greenberg Radiology Imaging, Highland Park, IL 60035-2240 | 2006-11-13 |
1194820167 | Thomas Figler | Radiology | 903 Commerce Dr, Suite 333, Oak Brook, IL 60523-1969 | 2006-09-14 |
1609987767 | Dr. Swartz Imaging of Illinois | Radiology | 8618 W Golf Rd # 8620, Niles, IL 60714-5600 | 2006-08-31 |
1063435923 | Jorge Delatorre | Radiology | 3058 N Austin Ave, Chicago, IL 60634-5126 | 2006-07-25 |
1174565774 | Ana Stipisic | Radiology | 2233 W Division, Chicago, IL 60622 | 2006-06-11 |
Find all providers with the same taxonomy |
City | MOUNT VERNON |
Zip Code | 62864 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.