QUINCY FAMILY FOOT CARE, PC (NPI# 1417957929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417957929 |
Entity Type | Organization |
Organization Name | QUINCY FAMILY FOOT CARE, PC |
Practice Address |
3915 Maine St Suite 5 Quincy IL 62305-5843 |
Practice Telephone | 2172226266 |
Mailing Telephone | 2172226266 |
Enumeration Date | 2005-07-26 |
Last Update Date | 2013-10-01 |
Authorized Official Name | DR. THOMAS J WENSING (PRESIDENT) |
Authorized Official Telephone | 2172226266 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 060008140 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE PTAN | 203439 | 01 |
Street Address |
3915 MAINE ST SUITE 5 |
City | QUINCY |
State | IL |
Zip Code | 62305-5843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679729636 | Douglas Steven Wentura | Dentist | 3915 Maine St, Quincy, IL 62305-5843 | 2008-08-11 |
1316120033 | Quincy Oral & Maxillofacial Surgery, P.C. | Dentist | 3915 Maine St, Suite 3, Quincy, IL 62305-5843 | 2007-12-17 |
1477637320 | Rick Dale Atwood | Dentist | 3915 Maine St, Suite #2, Quincy, IL 62305-5843 | 2006-10-25 |
1548341191 | Daniel E Riggs | Dentist | 3915 Maine St, Suite 3, Quincy, IL 62305-5843 | 2006-10-18 |
1184618241 | Thomas J Wensing | Podiatrist | 3915 Maine St, Suite 5, Quincy, IL 62305-5843 | 2005-09-06 |
1346234416 | Linda R Wensing | Podiatrist | 3915 Maine St, Suite 5, Quincy, IL 62305-5843 | 2005-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
Find all providers in zip 62305 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508391186 | Steven Quan | Podiatrist | 70 Wesson Ave, Quincy, MA 02169-7412 | 2017-04-20 |
1992816698 | George J Ducach Dpm PC | Podiatrist | 1261 Furnace Brook Parkway, Suite #18, Quincy, MA 02169 | 2006-08-31 |
1033513122 | Unquity Podiatry | Podiatrist | 114 Whitwell St, Quincy, MA 02169-1870 | 2014-10-17 |
1396041356 | Boston University General Surgical Associates, Inc.-qmc | Podiatrist | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-02-08 |
1497937361 | Reed Foot Clinic | Podiatrist | 601 S 8th St, Quincy, IL 62301-4909 | 2007-12-03 |
1518042217 | Dana M Smith Nasiff | Podiatrist | 1261 Furnace Brook Parkway, Suite 18, Quincy, MA 02169 | 2006-10-25 |
1184714115 | Wynn A Perlick | Podiatrist | 111 Willard St, Suite 2f, Quincy, MA 02169-1200 | 2006-10-13 |
1942215645 | Foot Care Specialists, P.C. | Podiatrist | 500 Congress St, Suite 1-d, Quincy, MA 02169-0908 | 2006-07-30 |
1881629152 | Brennan R Reed | Podiatrist | 601 S 8th St, Quincy, IL 62301 | 2006-07-12 |
1124053400 | Shwetal B Patel | Podiatrist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2006-07-12 |
Find all providers in QUINCY |
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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.