DR. GARY E QUINBY (NPI# 1780655936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780655936 |
Entity Type | Individual |
Full Name | DR. GARY E QUINBY |
Credential | MD |
Practice Address |
600 John Deere Rd Suite 200 Moline IL 61265-6869 |
Practice Telephone | 3097794200 |
Practice Fax Number | 3097794305 |
Mailing Telephone | 3097794200 |
Mailing Fax Number | 3097794305 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2008-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 036102180 | IL | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
036102180 | IL | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
036102180 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036102180 | 05 | |
IL | RR MEDICARE | 070014612 | 01 |
Street Address |
600 JOHN DEERE RD SUITE 200 |
City | MOLINE |
State | IL |
Zip Code | 61265-6869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447239173 | Margaret Sidles Millar | Legal Medicine | 600 John Deere Rd, Ste 401, Moline, IL 61265 | 2006-01-11 |
1205236569 | Janelle Olson | Physician Assistant | 600 John Deere Rd, Ste 301, Moline, IL 61265-6869 | 2014-08-23 |
1134403637 | Abbey G Matzen | Nurse Practitioner | 600 John Deere Rd, Suite 301, Moline, IL 61265-6869 | 2011-10-03 |
1225344153 | Sommer Lynn Livengood | Nurse Practitioner | 600 John Deere Rd, Suite 401, Moline, IL 61265-6869 | 2010-08-30 |
1821227414 | Vikram Agrawal | Pediatrics | 600 John Deere Rd, Suite 308, Moline, IL 61265-6869 | 2009-07-06 |
1689838823 | Steven E Broomhead Jr. | Surgery | 600 John Deere Rd, Suite 301, Moline, IL 61265-6869 | 2008-07-16 |
1417111311 | Toyosi Olutade | Internal Medicine | 600 John Deere Rd, Ste 404, Moline, IL 61265-6869 | 2008-07-10 |
1215196316 | Naurin Ehsan Ahmad | Dermatology | 600 John Deere Rd, Suite 200, Moline, IL 61265-6869 | 2008-06-03 |
1124162292 | Barbara Ann Lindman | Dermatology | 600 John Deere Rd, Suite 200, Moline, IL 61265-6869 | 2007-02-20 |
1437237542 | Hani Horani | Internal Medicine | 600 John Deere Rd, Suite 200, Moline, IL 61265-6869 | 2006-11-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
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Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
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1295374270 | Lilly Aesthetics Sc | Dermatology | 2500 S Highland Ave Ste 220, Lombard, IL 60148-7103 | 2019-12-23 |
1194270637 | University Dermatology and Vein Clinic LLC | Dermatology | 8110 Cass Ave, Darien, IL 60561-5013 | 2016-08-24 |
1174984959 | Advanced Skin and Mohs Surgery Center S.c. | Dermatology | 2845 N. Sheridan Road, Ste 912, Chicago, IL 60657 | 2016-03-08 |
1376915629 | Forefront Dermatology, S.c. | Dermatology | 1520 Bond St, Naperville, IL 60563 | 2015-10-27 |
1710294756 | Tracy Campbell Md LLC | Dermatology | 675 W North Ave Ste 506, Melrose Park, IL 60160-1626 | 2010-09-13 |
1932388865 | Marsh Dermatology, Sc | Dermatology | 1252 American Way, Libertyville, IL 60048-3936 | 2007-10-27 |
1538200308 | Omeed Memar | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-12 |
1891721965 | Aleksandar L Krunic | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-06-23 |
1073595690 | Ashish C Bhatia | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2005-11-18 |
1538153960 | Sharon Louise Horton | Dermatology | 1049 E Wilson St, Suite 190, Batavia, IL 60510-2474 | 2005-08-31 |
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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.