Individual provider Active NPI

Patrick A Quinn, MD

  • Obstetrics & Gynecology Physician
  • Mentor, OH
National Provider Identifier
1093778300
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-048922 Issued in OH
Practice address
9500 Mentor Ave
Suite 220
Mentor, OH 44060-8713
Phone
(440) 357-7100
Fax
(440) 357-8136
NPI assigned
Apr 8, 2006
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-048922 OH Primary

Addresses

Primary practice location

9500 Mentor Ave
Suite 220
Mentor, OH 44060-8713

Mailing address

9500 Mentor Ave
Suite 220
Mentor, OH 44060-8713
Phone (440) 357-7100

Other identifiers 2

IdentifierTypeStateIssuer
0559024MedicaidOH
000000187193OtherOHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Patrick.quinn@log.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Physicians Group LLC Obstetrics & Gynecology CurrentSince Jun 18, 2023 Accepting new patients

Locations

630 W Main St
Ste 102
Wilmington, OH 45177
Phone (937) 283-2580

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paquinn@yourcarecommunity.org
  • Direct secure messaging: patrick.quinn@log.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1093778300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MENTOR AVE",
            "address_2": "SUITE 220",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608713",
            "telephone_number": "440-357-7100",
            "fax_number": "440-357-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MENTOR AVE",
            "address_2": "SUITE 220",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608713",
            "telephone_number": "440-357-7100",
            "fax_number": "440-357-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-048922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0559024",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000187193",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Patrick.quinn@log.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "eclinical direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "9500 Mentor Ave",
            "address_2": "Suite 220",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440608713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.