Active NPI
Louis J Quintero MD
- Dermatology Physician
- Osage Beach, MO
National Provider Identifier
1154515583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- LOUIS J QUINTERO MD
- Practice address
- 54 Hospital Dr
Suite 201
Osage Beach, MO 65065-3050 - Phone
- (573) 302-4698
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis Quintero, MD
- Title
- Owner
- Phone
- (573) 302-4698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
54 Hospital Dr
Suite 201
Osage Beach, MO 65065-3050
Mailing address
54 Hospital Dr
Suite 201
Osage Beach, MO 65065-3050
Phone (573) 302-4698
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1154515583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 HOSPITAL DR",
"address_2": "SUITE 201",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653050",
"telephone_number": "573-302-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HOSPITAL DR",
"address_2": "SUITE 201",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653050",
"telephone_number": "573-302-4698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUIS J QUINTERO MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "QUINTERO",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-302-4698",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.