Andrew D Quillin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

74529 Issued in OH

Practice address

170 Northwoods Blvd
Suite 10
Columbus, OH 43235-4711

Phone

(614) 436-7188

Fax

(614) 436-0323

NPI assigned

Oct 25, 2006

Last updated

Feb 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Toledo College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.85 of 100Reported as group

Promoting interoperability

81

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Surgical Dermatology Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1972532091
  Medicare reassignment Care Compare group NPD
• Andrew D Quillin MD Dermatology LLC

  • Dermatology Physician
  • Columbus, OH
  • NPI 1922284207
  Authorized official Same address or phone
• CSD ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Westerville, OH
  • NPI 1821159823
  NPD (past)
• Osu Internal Medicine

  • Specialist
  • Columbus, OH
  • NPI 1346406972
  NPD (past)
• Osu Internal Medicine, LLC

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1740231448

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1205911898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD",
            "address_2": "SUITE 10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "614-436-7188",
            "fax_number": "614-436-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD",
            "address_2": "SUITE 10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "614-436-7188",
            "fax_number": "614-436-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIN",
        "first_name": "ANDREW",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "74529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000122316",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quiet Waters Clinics LLC (Quiet Waters Clinic)
• Quiet Waters Clinics LLC (Quiet Waters Clinic)
• Katarina Quigg
• Dennis Quigley, LISW
• Quik Hands LLC
• Stefanie Quimjian
• Dawn Quinichett
• Michael Quinichett
• Carl D. Quinion, M.D.
• James Quinlan, DPT, PT, ATC

• Dermatology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.