Edward Paul Quarantillo III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17667 Issued in WV

Practice address

81 War Memorial Drive
Berkeley Springs, WV 25411

Phone

(304) 258-8805

Fax

(304) 258-8846

NPI assigned

Aug 2, 2006

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: equarantillo144703@direct.wvuhsdirect.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Autumn Leasing Co., LLC

  dba Berkeley Springs Healthcare Center

  • Skilled Nursing Facility
  • Berkeley Springs, WV
  • NPI 1780323055

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Stonerise Services, LLC

  • Nurse Practitioner
  • Charleston, WV
  • NPI 1558743849
  Medicare reassignment NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1083055081
  Medicare reassignment NPD
• University Healthcare Physicians, Inc.

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1659625739
  Medicare reassignment NPD
• Pediatric & Family Physicians of Morgan County Inc

  • Family Medicine Physician
  • Berkeley Springs, WV
  • NPI 1710080189
  Authorized official Same address or phone
• University Healthcare Physicians Inc

  dba UHP Anesthesia

  • Anesthesiology Physician
  • Martinsburg, WV
  • NPI 1417371329
  NPD
• Autumn Leasing Co., LLC

  dba Berkeley Springs Healthcare Center

  • Skilled Nursing Facility
  • Berkeley Springs, WV
  • NPI 1780323055
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1235146242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WAR MEMORIAL DRIVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-258-8805",
            "fax_number": "304-258-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WAR MEMORIAL DRIVE",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-258-8805",
            "fax_number": "304-258-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARANTILLO",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054791000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "equarantillo144703@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "299 Medical Ct",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "equarantillo144703@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "299 Medical Ct",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael J Powell, M.A., ED.S.
• Heather Price, NP
• Crystal Prindle
• Tara M Pryor
• Joyce K Puffinberger
• Martha H Quarantillo, RPH
• Pamela Largent Quarantillo, MD
• Frank A Rainieri, DMD
• Rankin Physical Therapy LLC
• Rankin Rehabilitaion, LLC

• Family Medicine Physician in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.