QIU CI LI (NPI# 1396092698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396092698 |
| Entity Type | Individual |
| Full Name | QIU CI LI |
| Credential | PA-C |
| Practice Address |
300a Faunce Corner Rd North Dartmouth MA 02747-1280 |
| Mailing Address |
200 Mill Rd Ste 180 Fairhaven MA 02719-5255 |
| Practice Telephone | 5089731140 |
| Practice Fax Number | 5089731145 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
S80674161 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3HZN21427880 | 05 |
| Street Address |
300A FAUNCE CORNER RD |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip Code | 02747-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043792898 | Sarah Anne Crowley | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2018-08-29 |
| 1619425295 | Rute I Lameiro | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2016-09-13 |
| 1780060889 | Kristen Meiggs | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2015-07-31 |
| 1245619972 | Devin Lynde Bean | Physician Assistant | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2015-05-27 |
| 1487045654 | Southcoast Physicians Group, Inc. | Internal Medicine | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2015-02-10 |
| 1902201536 | Southcoast Physicians Group, Inc. | Orthopaedic Surgery | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2014-10-24 |
| 1871913061 | Yvonne Khazen | Physician Assistant | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2014-04-26 |
| 1104179613 | Laura C Lima | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2012-10-22 |
| 1285997734 | Mark Edmund Perry | Surgery | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2012-06-20 |
| 1801172259 | Aimee K. Gray, Od, LLC | Clinic/Center | 300a Faunce Corner Rd, Suite 101, North Dartmouth, MA 02747-1280 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| 1922651405 | Ingrid Florencio Delinski | Physician Assistant | 78 Alvarado Ave, Worcester, MA 01604-1152 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH DARTMOUTH |
| Zip Code | 02747 |
Please comment or provide details below to improve the information on QIU CI LI.
| 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.