QUANRI JIN (NPI# 1992148811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992148811 |
| Entity Type | Individual |
| Full Name | QUANRI JIN |
| Credential | M.D. |
| Practice Address |
615 N Michigan St Fl 1 South Bend IN 46601 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746473050 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01079970A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | 261970091 | 01 |
| IN | 300013614 | 05 |
| Street Address |
615 N MICHIGAN ST FL 1 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937388 | Sunday Osunnuga | Emergency Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2006-05-12 |
| 1073159174 | Yolanda Kelbel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-11-23 |
| 1730741687 | Kassi J Brooks | Genetic Counselor, MS | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-07-01 |
| 1780192922 | Michelle Mccauley | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2018-01-22 |
| 1952814113 | Alison Haffner | Registered Nurse | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-11-09 |
| 1073048260 | Shelby L Towner | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-04-25 |
| 1518316637 | Ryan D. Enck | Family Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2016-06-09 |
| 1730547738 | Amy Hertzler Deel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601 | 2016-02-04 |
| 1528431632 | Tracy Lynne Mcneill | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-11-11 |
| 1194102723 | Patricia C Osmolak | Internal Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
|---|---|---|---|---|
| 1962862334 | Saint Jude Offices, LLC | Internal Medicine | 328 N Michigan St, Suite F3, South Bend, IN 46601-1244 | 2016-02-29 |
| 1396154324 | Saint Joseph Regional Medical Center South Bend Campus, Inc. | Internal Medicine | 234 Chapin St Ste I (i), South Bend, IN 46601-2571 | 2014-08-04 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1225235336 | Sylvana Atallah | Internal Medicine | 328 N Michigan St Ste F3, First Floor, South Bend, IN 46601-1241 | 2007-07-02 |
| 1730194416 | Edna Pamatmat | Internal Medicine | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2006-07-30 |
| 1447220843 | Mark Douglas Fox | Internal Medicine | 1234 N Notre Dame Ave, South Bend, IN 46617-1404 | 2006-01-26 |
| 1649261710 | Susan R Hart-cavallo | Internal Medicine | 720 Cedar St, Suite 400, South Bend, IN 46617-2060 | 2005-10-28 |
| 1194102723 | Patricia C Osmolak | Internal Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-05-04 |
| 1285011957 | Jason Stegink | Internal Medicine | 615 N Michigan St, South Bend, IN 46601 | 2015-05-01 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.