Active NPI
Bradley D Quamme, MD
- Emergency Medicine Physician
- Barnesville, OH
National Provider Identifier
1063469096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-055942
- Practice address
- 639 W Main St
Barnesville, OH 43713-1039 - Phone
- (740) 425-3941
- Fax
- (740) 425-9213
- NPI assigned
- May 27, 2006
- Last updated
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-055942 | OH | Primary |
Addresses
Primary practice location
639 W Main St
Barnesville, OH 43713-1039
Mailing address
PO Box 219
Lancaster, OH 43130-0219
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000211961 | Other | OH | BCBS |
| 0679798 | Medicaid | OH | |
| 1065813 | Other | WV | BRICK STREET |
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 |
|---|---|---|---|
| 35-055942 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Barnesville, OH
- NPI 1043699200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1063469096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431300219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 W MAIN ST",
"city": "BARNESVILLE",
"state": "OH",
"postal_code": "437131039",
"telephone_number": "740-425-3941",
"fax_number": "740-425-9213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAMME",
"first_name": "BRADLEY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-055942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000211961",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0679798",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICK STREET",
"identifier": "1065813",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barnesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.