DR. MARC A QUILLEN (NPI# 1427053784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427053784 |
| Entity Type | Individual |
| Full Name | DR. MARC A QUILLEN |
| Credential | PH.D |
| Practice Address |
4217 Briarwood Dr Lawrence KS 66049-1998 |
| Practice Telephone | 7858560684 |
| Mailing Telephone | 7858560684 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2009-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 0521 | KS | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0521 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100230310B | 05 |
| Street Address |
4217 BRIARWOOD DR |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66049-1998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
| 1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
| Find all providers in zip 66049 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1528300183 | Jessica Modrell | Psychologist | 719 Massachusetts St Ste 122, Lawrence, KS 66044-2345 | 2013-03-21 |
| 1689945669 | Alan Winder Psychological Services PC | Psychologist | 7 Sterling Pl, Lawrence, NY 11559-2414 | 2012-01-23 |
| 1205064953 | Patrick James Nicholas | Psychologist | 1035 Vermont St, Suite C, Lawrence, KS 66044-2921 | 2009-07-01 |
| 1124143060 | Robert Wray Barnett | Psychologist | 922 E 1100 Rd, Lawrence, KS 66047-9425 | 2007-03-20 |
| 1861578577 | Joy K Rannebeck | Psychologist | 3109 W 27th St, Lawrence, KS 66047-3207 | 2006-10-27 |
| 1942396825 | Elton M Squyres | Psychologist | 1017 Kentucky Street, Lawrence, KS 66044 | 2006-10-05 |
| 1407954555 | Pamela J. Botts | Psychologist | 719 Massachusetts, Lawrence, KS 66044 | 2006-09-20 |
| 1134144538 | Jerry Lyons | Psychologist | 2523 Knox Dr, Lawrence, KS 66046-5636 | 2006-07-13 |
| Find all providers in LAWRENCE | ||||
Please comment or provide details below to improve the information on DR. MARC A QUILLEN.
| 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.