NPIMap

Organization Active NPI

Quadmed Management, LLC

  • Primary Care Clinic/Center
  • Edgewood, MD
National Provider Identifier
1104363035
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R149803 Issued in MD
Legal business name
QUADMED MANAGEMENT, LLC
Practice address
1701 Trimble Rd
Edgewood, MD 21040-3008
Phone
(844) 708-4822
NPI assigned
Jan 30, 2017
Organization subpart
Yes
Parent organization
QUAD/GRAPHICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Jamie Durant, FNP
Title
Nurse Pratitioner
Phone
(844) 708-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R149803 MD Primary

Addresses

Primary practice location

1701 Trimble Rd
Edgewood, MD 21040-3008

Mailing address

N53W24700 S Corporate Cir
Sussex, WI 53089-4359
Phone (317) 791-6691

National Provider Directory

National Provider Directory
Tax ID family
McKee Health Clinic Collegdale2 organizations share this tax ID, including this one
Part of
Quad Med Managment LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 Trimble Rd
Edgewood, MD 21040
Phone (844) 708-4822

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1104363035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N53W24700 S CORPORATE CIR",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894359",
            "telephone_number": "317-791-6691",
            "fax_number": "317-791-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TRIMBLE RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403008",
            "telephone_number": "844-708-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUADMED MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUAD/GRAPHICS, INC",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "NURSE PRATITIONER",
        "authorized_official_telephone_number": "844-708-4822",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R149803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.