Quad City Medical Associate, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45041 Issued in AZ

Legal business name

QUAD CITY MEDICAL ASSOCIATE, LLC

Practice address

390 S Highway 69
Suite 102
Dewey, AZ 86327-7082

Phone

(928) 632-5291

Fax

(928) 632-5447

NPI assigned

Mar 22, 2015

Last updated

May 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Narendra Sankar, M.D.NPI 1437313723

Title

MD/Owner

Phone

(928) 632-5291

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Narendra Sankar, M.D.

  • Internal Medicine Physician
  • Dewey, AZ
  • NPI 1437313723
  Medicare reassignment NPD Authorized official
• Melissa Louise Carone, NP-C

  • Family Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1255844411
  NPD (past)

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1235523895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863271568",
            "telephone_number": "928-632-5291",
            "fax_number": "928-632-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S HIGHWAY 69",
            "address_2": "SUITE 102",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863277082",
            "telephone_number": "928-632-5291",
            "fax_number": "928-632-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY MEDICAL ASSOCIATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "SANKAR",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "928-632-5291",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Pharmacy LLC (Dewey Pharmacy)
• Candace Oen, P. A. -C.
• Frederic Leland Ondovchak, R.N., M.S.N., A.P.R.
• Angela Payne, LPN
• Prescott Renal Care Group, LLC (Renal Care Group Prescott)
• Michael P Randall, D.C
• Lindsey M Robbins, FNP-C
• Carolyn Rodriguez, CAROLYN
• Narendra Sankar, M.D.
• Vanessa Margaret Scheu, NP-C, MSN

• Internal Medicine Physician in Dewey, AZ
• Providers in Dewey, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.