Robert Quackenbush MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00039975 Issued in WA

Legal business name

ROBERT QUACKENBUSH MD PLLC

Practice address

40L W Poplar St
Walla Walla, WA 99362

Phone

(509) 525-2220

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Robert C Quackenbush, MDNPI 1962458877

Title

MD

Phone

(509) 525-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert C Quackenbush, M.D.

  • Medical Oncology Physician
  • Walla Walla, WA
  • NPI 1962458877

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1043404163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2102",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620102",
            "telephone_number": "509-525-2220",
            "fax_number": "509-525-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40L W POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "509-525-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT QUACKENBUSH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "QUACKENBUSH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "509-525-2220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00039975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "DA4111",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Riley
• Lara Ann Riley, PH.D.
• Omar Rivera
• RJJ Inc (Medicine Shoppe)
• Road Runner Express Inc. (Transportation Solutions)
• Joel Roberts, M.D.
• Justin Roberts, O.D.
• Tami Jo Roberts, MSN, FNP-C
• Sierra Robertson
• Christa Robinson

• Specialist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.