QUINCY PHYSICIANS & SURGEONS CLINIC, SC (NPI# 1649244187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649244187 |
| Entity Type | Organization |
| Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
| Other Organization Name | QUINCY MEDICAL GROUP MT. STERLING AFFILIATE |
| Practice Address |
521 E Main St Mt Sterling IL 62353-1378 |
| Practice Telephone | 2177733963 |
| Mailing Telephone | 2177733963 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | DAN EVANS (CEO) |
| Authorized Official Telephone | 2172226550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| QUINCY MEDICAL GROUP MT. STERLING AFFILIATE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1144462490 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1000 Central Street, Labelle, MO 63447 | 2009-04-01 |
| 1467426585 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 405 E State, Pleasant Hill, IL 62366-0427 | 2006-02-15 |
| 1356315899 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 320 North Madison, Pittsfield, IL 62363-1412 | 2006-02-13 |
| 1902870439 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1100 E Outer Rd S Ste 4, Canton, MO 63435-1702 | 2006-02-13 |
| 1639711120 | Quincy Physicians & Surgeons Clinic, Sc | Clinical Medical Laboratory | 320 N Madison St, Pittsfield, IL 62363-1412 | 2019-10-16 |
| 1215497730 | Quincy Physicians & Surgeons Clinic, Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1025 Maine St, Quincy, IL 62301-4096 | 2019-03-21 |
| 1508356098 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1603 Morgan St Ste 3, Keokuk, IA 52632-3433 | 2018-05-10 |
| 1790158087 | Quincy Physicians & Surgeons Clinic, Sc | Durable Medical Equipment & Medical Supplies | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-11-09 |
| Street Address |
521 E MAIN ST |
| City | MT STERLING |
| State | IL |
| Zip Code | 62353-1378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104337369 | Laura Garrett | Nurse Practitioner | 521 E Main St, Mt Sterling, IL 62353-1378 | 2017-10-16 |
| 1588113534 | Kayla A. Sipes | Registered Nurse | 521 E Main St, Mt Sterling, IL 62353-1378 | 2016-09-30 |
| 1407198476 | Tasha Richerman Vallee | Registered Nurse | 521 E Main St, Mt Sterling, IL 62353-1378 | 2013-03-18 |
| 1467638932 | Khalid Waheed | Family Medicine | 521 E Main St, Mt Sterling, IL 62353-1378 | 2008-01-15 |
| 1326239385 | Martha E. Blakeley | Physical Therapist | 521 E Main St, Mt Sterling, IL 62353-1378 | 2007-08-06 |
| 1598966640 | Quincy Medical Group Mt. Sterling Rural Health | Durable Medical Equipment & Medical Supplies | 521 E Main St, Mt Sterling, IL 62353-1378 | 2007-05-29 |
| 1003889957 | Jennifer S Schroeder | Family Medicine | 521 E Main St, Mt Sterling, IL 62353-1378 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740827856 | Madeline Nichole Weber | Technician | 319 Fairground, Apartment 12, Mount Sterling, IL 62353 | 2019-12-09 |
| 1871851816 | Tamar Montoya-albrecht | Occupational Therapist | 215 W. Pennsylvannia Ave, Staunton, IL 62353 | 2012-04-27 |
| 1871885541 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 510 Curry Lane, Mount Sterling, IL 62353 | 2011-05-12 |
| 1508068453 | Apex Physical Therapy, LLC | Clinic/Center | Route 99 South, Mt Sterling, IL 62353 | 2007-06-04 |
| 1164642062 | Beth Stephens | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1205056090 | Jeri Howell | Counselor | 210 Country Lane, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| 1558451716 | Mental Health Centers of Western Illinois | Clinic/Center | 700 Se Cross Street, Mt Sterling, IL 62353 | 2006-10-16 |
| 1588771786 | Mount Sterling Dental Center, P.C. | Dentist | 839 Route 24, West, Mount Sterling, IL 62353 | 2006-08-24 |
| 1346452489 | Sean Eifert | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-05-03 |
| 1063632859 | Michael L Jersey | Counselor | 700 Se Cross, Mental Health Centers of Western Illinois, Mt Sterling, IL 62353 | 2007-04-26 |
| Find all providers in zip 62353 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285655167 | Family Care Clinic, Pllc | Clinic/Center | 644 Maysville Rd, Suite 8, Mt Sterling, KY 40353-9464 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | MT STERLING |
| Zip Code | 62353 |
Please comment or provide details below to improve the information on QUINCY PHYSICIANS & SURGEONS CLINIC, SC.
| 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.