QUINCY PHYSICIANS & SURGEONS CLINIC, SC


Address: 163 Medical Dr, Hannibal, MO 63401-6884
Phone: 5732483900

QUINCY PHYSICIANS & SURGEONS CLINIC, SC (NPI# 1760641179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760641179
Entity Type Organization
Organization Name QUINCY PHYSICIANS & SURGEONS CLINIC, SC
Other Organization Name QUINCY MEDICAL GROUP
Practice Address 163 Medical Dr
Hannibal
MO 63401-6884
Mailing Address 1025 Maine St
Quincy
IL 62301-4038
Practice Telephone 5732483900
Practice Fax Number 5732483902
Mailing Telephone 2172226550
Mailing Fax Number 2172772253
Enumeration Date 2008-06-02
Last Update Date 2011-03-25
Authorized Official Name PATTY WOERMAN (CREDENTIALING SPECIALIST)
Authorized Official Telephone 2172226550
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
2004009689 MO Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
2004009689 MO Allopathic & Osteopathic Physicians
N 207NI0002X Dermatology
Specialization: Clinical & Laboratory Dermatological Immunology
2004009689 MO Allopathic & Osteopathic Physicians
N 207NP0225X Dermatology
Specialization: Pediatric Dermatology
2004009689 MO Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
2004009689 MO Allopathic & Osteopathic Physicians
N 291U00000X Clinical Medical Laboratory 26D1096719 MO Laboratories
Y 207N00000X Dermatology 2004009689 MO Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Quincy Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 163 MEDICAL DR
City HANNIBAL
State MO
Zip Code 63401-6884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679552350 Linda M Cooke Dermatology 163 Medical Dr, Hannibal, MO 63401-6884 2006-01-11
1699262329 Riverside Dermatology & Spa LLC Clinic/Center 163 Medical Dr, Hannibal, MO 63401-6884 2018-04-18
1508874736 Kathleen E Haycraft Nurse Practitioner 163 Medical Dr, Hannibal, MO 63401-6884 2006-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255981064 Amanda Lynn Jennings Nurse Practitioner Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 2019-09-13
1316452295 Hannibal Regional Healthcare System, Inc Hospice Care, Community Based 6401 Hwy Mm, Hannibal, MO 63401 2017-12-13
1932614351 Sidney M Johnson Counselor 1221 Broadway St, Hannibal, MO 63401 2017-12-07
1316467210 Jessica Baker Counselor 4355 Paris Gravel Road, Hannibal, MO 63401 2017-06-21
1346787066 Hands Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17 Settlerstrail, Hannibal, MO 63401 2017-01-20
1134571672 Pamela Barrigar Social Worker 4600 Mcmasters Ave, Hannibal, MO 63401 2016-07-08
1639540677 Jessica Murfin Speech-Language Pathologist 544 N Veterans Rd, Hannibal, MO 63401 2015-10-16
1366835639 Cpo Services, Inc. Prosthetic/Orthotic Supplier 8965 Highway 36 Ste 3, Hannibal, MO 63401 2015-03-11
1639324254 Hannibal Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 118 Steam Boat Bend, Hannibal, MO 63401 2008-11-24
1780856112 Barbara Belle Smith Social Worker 3700 Hwy Mm, Hannibal, MO 63401 2008-03-26
Find all providers in zip 63401

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679552350 Linda M Cooke Dermatology 163 Medical Dr, Hannibal, MO 63401-6884 2006-01-11
1881673457 Susan M Meidl Dermatology 100 Medical Dr, Hannibal, MO 63401-6877 2006-01-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922605906 Deluxe Dermatology LLC Dermatology 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 2020-10-03
1811510886 Yoon Dermatology LLC Dermatology 1060 Meyer Rd, Wentzville, MO 63385-3800 2020-05-25
1417597923 Anna Marie Aiazzi Dermatology 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 2020-01-13
1790330371 Baydon Earl Hilton Dermatology 1003 Kings Rd, Kirksville, MO 63501-2627 2019-08-09
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1528537057 Cayce Medical Spa, Inc Dermatology 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 2018-11-14
1396226981 Nicole Betty Dermatology 413 W Water Street, Greenfield, MO 65661 2018-08-22
1366946832 Novahealth Medical Group, LLC Dermatology 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 2018-03-20
1952757007 Stacy Gittel Blum Dermatology 222 S Woods Mill Rd Ste 480, Chesterfield, MO 63017-3625 2016-05-08
1508248576 Kaitlin Ann Schiavo Dermatology 204 N Keene St Ste 100, Columbia, MO 65201-8136 2015-06-25
Find all providers with the same taxonomy

Competitor

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City HANNIBAL
Zip Code 63401

Improve Information

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Dataset Information

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.

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