QUALITY MEDICAL CARE, LLC (NPI# 1265602346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265602346 |
| Entity Type | Organization |
| Organization Name | QUALITY MEDICAL CARE, LLC |
| Practice Address |
5450 Knoll North Dr Suite 100 Columbia MD 21045-2373 |
| Practice Telephone | 4109644508 |
| Practice Fax Number | 4109644578 |
| Mailing Telephone | 4109644508 |
| Mailing Fax Number | 4109644578 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | DR. MARIE-ALBERTE BOURSIQUOT (PHYSICIAN) |
| Authorized Official Telephone | 4109644508 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D0051958 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE | 014N | 01 |
| MD | 913310100 | 05 | |
| MD | UPIN | G62516 | 01 |
| Street Address |
5450 KNOLL NORTH DR SUITE 100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961150 | Michael Stuart Barr | Internal Medicine | 5450 Knoll North Dr, Columbia, MD 21045-2373 | 2005-06-10 |
| 1669832606 | Mary Perry | Dietitian, Registered | 5450 Knoll North Dr, Suite 260, Columbia, MD 21045-2373 | 2016-03-03 |
| 1508260910 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 5450 Knoll North Dr, Suite 340, Columbia, MD 21045-2373 | 2014-10-14 |
| 1629397112 | Cassandra B Mcdaniel | Pediatrics | 5450 Knoll North Dr, Suite 300, Columbia, MD 21045-2373 | 2010-05-23 |
| 1518198357 | William L Rayfield II | Pediatrics | 5450 Knoll North Dr, Columbia, MD 21045-2373 | 2009-07-28 |
| 1346474632 | Ivana Paz | Family Medicine | 5450 Knoll North Dr, Suite 250, Columbia, MD 21045-2373 | 2009-05-14 |
| 1588804512 | Rong Ye | Physician Assistant | 5450 Knoll North Dr, Suite 260, Columbia, MD 21045-2373 | 2009-03-04 |
| 1255513636 | Meegan Christa Chestnut | Internal Medicine | 5450 Knoll North Dr, Ste 260, Columbia, MD 21045-2373 | 2007-11-28 |
| 1306027180 | Safia Tasneem | Family Medicine | 5450 Knoll North Dr, Ste 250, Columbia, MD 21045-2373 | 2007-11-20 |
| 1174656193 | Richard Charles Marsella | Pathology | 5450 Knoll North Dr, Columbia, MD 21045-2300 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1700402849 | Michael Allan Goble | Internal Medicine | Internal Medical Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-24 |
| 1740806389 | Alan Verl Godfrey | Internal Medicine | University of Missouri Hospital 1 Hospital Dr, Columbia, MO 65212-0001 | 2020-06-19 |
| 1003432642 | Gregory Gaskey | Internal Medicine | University of Missouri Hospital One Hospital Drive, Columbia, MO 65212-0001 | 2020-06-19 |
| Find all providers in COLUMBIA | ||||
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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.