Quorum Orthopedics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP003160 Issued in CO

Legal business name

QUORUM ORTHOPEDICS, INC.

Practice address

2110 Evans Ave
Cheyenne, WY 82001-3734

Phone

(307) 778-6595

Fax

(307) 778-6191

NPI assigned

Feb 12, 2007

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimber Brekke

Title

Administrator

Phone

(307) 778-6595

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jade Kyle Newman, C.O.

  • Orthotist
  • Cheyenne, WY
  • NPI 1174064992
  NPD (past)
• Joseph L Johnson, CP, CTPO

  • Prosthetist
  • Windsor, CO
  • NPI 1326034620
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1013059732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 EVANS AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013734",
            "telephone_number": "307-778-6595",
            "fax_number": "307-778-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EVANS AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013734",
            "telephone_number": "307-778-6595",
            "fax_number": "307-778-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820014528",
            "country_code": "US",
            "telephone_number": "307-778-6595",
            "fax_number": "307-778-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUORUM ORTHOPEDICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "BREKKE",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "307-778-6595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "CP003160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97021032",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117954300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Corrine Quinlivan
• Julie Maria Quinlivan, MS, OTR/L
• Nicole Quinn
• Patrick Michael Quinn Jr., DC
• William Quinn, LCSW
• Tessa Jean Raba
• Michael Justin Raboin
• Rachel Yocum As Kids in Motion
• Ellicia Rael, LPN
• Corinne Raffaeli

• Prosthetic/Orthotic Supplier in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Prosthetic/Orthotic Supplier in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.