JACKIE LEE QUACH


Address: 1040 Delaware Ave, Marion, OH 43302-6416
Phone: 7403838090

JACKIE LEE QUACH (NPI# 1396096418) 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) 1396096418
Entity Type Individual
Full Name JACKIE LEE QUACH
Credential M.D.
Practice Address 1040 Delaware Ave
Marion
OH 43302-6416
Mailing Address # L-3652
Columbus
OH 43260-6453
Practice Telephone 7403838090
Practice Fax Number 7403756481
Mailing Telephone 7403837927
Mailing Fax Number 7403837942
Enumeration Date 2012-09-28
Last Update Date 2015-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 35.121203 OH Allopathic & Osteopathic Physicians
N 208000000X Pediatrics A119861 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0087085 05

Office Location

Street Address 1040 DELAWARE AVE
City MARION
State OH
Zip Code 43302-6416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831193754 Sherrie Helen Stump Audiologist 1040 Delaware Ave, Marion, OH 43302-6416 2005-06-09
1699304303 Brooke Taylor Lowe Registered Nurse 1040 Delaware Ave, Marion, OH 43302-6416 2020-04-04
1437707031 Shawn Thomas Beltz Physician Assistant 1040 Delaware Ave, Marion, OH 43302-6416 2019-08-28
1306361498 Nicole Marie Harvey Physician Assistant 1040 Delaware Ave, Marion, OH 43302-6416 2017-08-09
1578015806 Amanda Dulan Pharmacist 1040 Delaware Ave, Marion, OH 43302-6416 2016-11-03
1144678913 Seth Risner Pharmacist 1040 Delaware Ave, Marion, OH 43302-6416 2016-06-02
1427494277 Marion General Hospital, Inc. Clinical Medical Laboratory 1040 Delaware Ave, Marion, OH 43302-6416 2013-05-21
1386986248 Theresa Lynn Cline Registered Nurse 1040 Delaware Ave, Marion, OH 43302-6416 2013-03-19
1619230802 Marion Area Physicians LLC Orthopaedic Surgery 1040 Delaware Ave, Marion, OH 43302-6416 2012-06-21
1336407253 William Bradley Wainright Internal Medicine 1040 Delaware Ave, Marion, OH 43302-6416 2012-04-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467094284 Nichole Mattix Case Management 1199 Delaware Avenue, Marion, OH 43302 2019-10-14
1770138208 Peyton Feeney Nurse Practitioner 1065 Delaware Ave. Ste. A, Marion, OH 43302 2019-08-01
1609350891 Progressive Living, Inc Home Health 3523 Pleasant Hill R.d., Marion, OH 43302 2018-09-24
1962989400 Adena Pennington Community Health Worker 320 Executive Drive, Marion, OH 43302 2018-07-27
1407372030 Kelli Ann Love Licensed Practical Nurse 559 Uncapher Ave, Marion, OH 43302 2017-08-15
1063947513 Netcare Usa LLC In Home Supportive Care 1275 Lake Blvd, 6, Marion, OH 43302 2017-04-21
1003350448 Ethan Thomas Craig Social Worker 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 2016-12-04
1326590043 Occupational Health Centers of Ohio, Pa, Co Clinic/Center 1300 Marion Agosta Road, Marion, OH 43302 2016-10-28
1295115459 Bradley Neil Casto Hearing Instrument Specialist 864 East Center St, Marion, OH 43302 2015-06-03
1881003630 Billie Roach Home Health Aide 182 Barkswood Rd., Marion, OH 43302 2014-08-06
Find all providers in zip 43302

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659841864 Collins Wellness Center, LLC Pediatrics 642 10th St Ste 102, Marion, IA 52302-3446 2018-11-30
1578009114 Charles W Bemm Pediatrics 3783 E State Road 18, Marion, IN 46952-8768 2017-01-06
1154642411 Marion Pediatric Clinic Sc Pediatrics 3331 W Deyoung St Ste 207, Marion, IL 62959-5897 2010-06-21
1306012042 Mcdowell Hospital Pediatrics 387 Us Highway 70 West, Suite 1, Marion, NC 28752 2008-05-02
1922291962 The Children's Clinic of Marion Pediatrics 1225 W Henderson St, Marion, NC 28752-4807 2007-08-23
1003016700 Alissa Michelle Grant Pediatrics 100 Meadowbrook Cir, Marion, AR 72364-2345 2007-07-20
1417002098 Sadashivaiah Bhaskar Pediatrics 3412 Office Park Dr, Marion, IL 62959-6477 2007-01-24
1649384892 Pradeep Gopala Reddy Pediatrics 3412 Office Park Drive, Marion, IL 62959-1998 2006-08-17
1265489223 Karen R. Olson Pediatrics 387 Us 70 W, Marion, NC 28752-6202 2006-05-27
1144275967 Marilyn R Hunter Pediatrics 1411 W Bella Dr, Marion, IN 46953-5250 2006-05-23
Find all providers in MARION

Competitor

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City MARION
Zip Code 43302

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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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