Organization Active NPI

Quillin Family Medicine, LLC

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1174795769
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19388 Issued in OR
Legal business name
QUILLIN FAMILY MEDICINE, LLC
Practice address
909 Lawrence St
Eugene, OR 97401-2815
Phone
(541) 342-4660
Fax
(541) 344-5127
NPI assigned
Mar 24, 2008
Organization subpart
Yes
Parent organization
QUILLIN FAMILY MEDICINE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Elizabeth P Quillin, MDNPI 1750391264
Title
Owner/Physician
Phone
(541) 342-4660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD19388 OR Primary

Addresses

Primary practice location

909 Lawrence St
Eugene, OR 97401-2815

Mailing address

909 Lawrence St
Eugene, OR 97401-2815
Phone (541) 342-4660

Other names 1

  • Quillin Family Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000207 OR Part B Supplier - Clinic/Group Practice 7719933092 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

909 Lawrence St
Eugene, OR 97401
Phone (541) 342-4660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22899/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1174795769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012815",
            "telephone_number": "541-342-4660",
            "fax_number": "541-344-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012815",
            "telephone_number": "541-342-4660",
            "fax_number": "541-344-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUILLIN FAMILY MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUILLIN FAMILY MEDICINE PC",
        "enumeration_date": "2008-03-24",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "QUILLIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "541-342-4660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD19388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quillin Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.