Quincy Physicians & Surgeons Clinic, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

Practice address

133 E Main St
Kahoka, MO 63445-1775

Phone

(660) 727-3388

NPI assigned

Jan 20, 2022

Organization subpart

Yes

Parent organization

QUINCY PHYSICIANS & SURGEONS CLINIC, PLLCAs reported in NPPES

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

Authorized official

Name

Patty Woerman

Title

Credentialing Specialist

Phone

(217) 222-6550

Specialties & licenses 1

Addresses

Other names 1

• Quincy Medical Group Kahoka Affiliate Other name

Part of

QPS Clinic SC Dbaqncy

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1124770201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014096",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634451775",
            "telephone_number": "660-727-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "WOERMAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "217-222-6550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quincy Medical Group Kahoka Affiliate",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Quincy Medical Group Kahoka Affiliate",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamie L Perry, RDH
• Jessica Aarron Pitford, BCBA
• Bree Denise Plenge, COTA/L
• Preferred Family Health Care, Inc.
• Erin Protsman
• Quincy Physicians & Surgeons Clinic, PLLC
• Regional Home Care, Inc.
• Regional Private Health Services Inc
• Renewed Hope Counseling & Healing, LLC
• Salt River Community Health Center

• All providers in Kahoka, MO
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.