Active NPI
Stephen Neil Quigley
- Surgery Physician
- Indianapolis, IN
National Provider Identifier
1013436922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01079204A
- Practice address
- 550 University Blvd # Uh1295
Indianapolis, IN 46202-5149 - Phone
- (317) 274-3086
- NPI assigned
- Sep 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01079204A | IN | Primary |
Addresses
Primary practice location
550 University Blvd # Uh1295
Indianapolis, IN 46202-5149
Mailing address
335 W 9TH St Unit 235
Indianapolis, IN 46202-3139
Phone (587) 216-0917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079204A | IN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1013436922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 W 9TH ST UNIT 235",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023139",
"telephone_number": "587-216-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD # UH1295",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-274-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIGLEY",
"first_name": "STEPHEN",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01079204A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.