QUINCY PHYSICIANS & SURGEONS CLINIC, SC (NPI# 1053410001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053410001 |
| Entity Type | Organization |
| Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
| Practice Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 2172226550 |
| Practice Fax Number | 2172772253 |
| Mailing Telephone | 2172226550 |
| Mailing Fax Number | 2172772253 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | DR. DAN H. EVANS (CEO AND CHAIRMAN OF THE BOARD) |
| 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 | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| 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 |
1025 MAINE ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833860 | Don Manarang | Family Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2005-06-28 |
| 1518571546 | Amy E Durst | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2020-09-08 |
| 1477178820 | Bradley Allen Staten | Physician Assistant | 1025 Maine St, Quincy, IL 62301-4038 | 2020-06-11 |
| 1316586613 | Shari W Robesky | Social Worker | 1025 Maine St, Quincy, IL 62301-4038 | 2020-01-03 |
| 1154968675 | Erica A Fitzgerald | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2019-12-03 |
| 1366088007 | Paul D Warning | Counselor | 1025 Maine St, Quincy, IL 62301-4096 | 2019-11-18 |
| 1457902884 | Alison J Simmons | Occupational Therapist | 1025 Maine St, Quincy, IL 62301-4096 | 2019-09-26 |
| 1841847464 | Sarah J Thacker | Registered Nurse | 1025 Maine St, Quincy, IL 62301-4096 | 2019-08-19 |
| 1740832252 | Olivia P Rees | Dietitian, Registered | 1025 Maine St, Quincy, IL 62301-4096 | 2019-07-15 |
| 1386206795 | Luke A Ellerman | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2019-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538493937 | Total Renal Care Inc | Clinic/Center | 436 N 10th St, Quincy, IL 62301-4152 | 2009-10-01 |
| 1437168143 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 241 Parkingway, Quincy, MA 02169-5029 | 2006-08-05 |
| 1578531802 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 878 Strong Rd, Quincy, FL 32351-5243 | 2006-03-11 |
| 1396118444 | Usrc Quincy, LLC | Clinic/Center | 500 Victory Rd, Quincy, MA 02171-3139 | 2015-11-10 |
| 1407144637 | Ihs of Massachusetts LLC | Clinic/Center | 1250 Hancock St, Suite 110-n, Quincy, MA 02169-4339 | 2011-07-21 |
| 1679860134 | Ihs of Massachusetts LLC | Clinic/Center | 1250 Hancock Street, Suite 204, Quincy, MA 02169 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550486 | Home Dialysis & Kidney Care Limited | Clinic/Center | 1252 Ogden Ave Ste D, Downers Grove, IL 60515-2740 | 2020-08-28 |
| 1922619824 | Dialysis Care Center Evergreen Park LLC | Clinic/Center | 9834 S Kedzie Ave, Evergreen Park, IL 60805-3135 | 2020-08-13 |
| 1558970525 | Concerto Massachusetts LLC | Clinic/Center | 4600 W Touhy Ave Ste 100, Lincolnwood, IL 60712-1606 | 2020-07-27 |
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1376162735 | Hopkinton Dialysis LLC | Clinic/Center | 6001 W Ogden Ave, Cicero, IL 60804-3739 | 2020-04-15 |
| 1710511399 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1946 Grand Avenue, Granite City, IL 62040-4613 | 2020-02-24 |
| 1861026478 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021 | 2020-02-24 |
| 1033741608 | Fresenius Medical Care New Lenox, LLC | Clinic/Center | 662 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2020-02-11 |
| 1730725904 | Perryton Dialysis LLC | Clinic/Center | 8604 Woodward Ave, Woodridge, IL 60517-3171 | 2019-11-22 |
| 1124678529 | Dialyze Direct Il LLC | Clinic/Center | 410 S Heinlein Dr, Shelbyville, IL 62565-7800 | 2019-09-17 |
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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.