KENT S QUINN


Address: 1 Good Samaritan Way, Attn Radiology Dept, Mount Vernon, IL 62864-2402
Phone: 6182424600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085B0100X Radiology
Specialization: Body Imaging
21181 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 7191098* 05

Office Location

Street Address 1 GOOD SAMARITAN WAY
ATTN RADIOLOGY DEPT
City MOUNT VERNON
State IL
Zip Code 62864-2402

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085B0100X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Body Imaging

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093782211 James R Williams Radiology 600 N Main, Mount Vernon, MO 65712-1004 2006-03-07

Providers in the same taxonomy and state

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
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Competitor

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City MOUNT VERNON
Zip Code 62864

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Dataset Information

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.

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