Individual provider Active NPI

Colleen R McQuade, M.D.

  • Specialist
  • The Villages, FL
National Provider Identifier
1265411417
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME78429 Issued in FL
Practice address
11834 County Road 101
Suite 202
The Villages, FL 32162-9306
Phone
(352) 205-8027
Fax
(352) 430-1437
NPI assigned
Jan 14, 2006
Last updated
Feb 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME78429 FL Primary

Addresses

Primary practice location

11834 County Road 101
Suite 202
The Villages, FL 32162-9306

Mailing address

11834 County Road 101
Suite 202
The Villages, FL 32162-9306
Phone (352) 205-8027

Other identifiers 2

IdentifierTypeStateIssuer
46831OtherFLBCBS PROVIDER NUMBER
P00269173OtherRAILROAD RETIREMENT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Village Gynecology MD PA Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1265411417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11834 COUNTY ROAD 101",
            "address_2": "SUITE 202",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629306",
            "telephone_number": "352-205-8027",
            "fax_number": "352-430-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 COUNTY ROAD 101",
            "address_2": "SUITE 202",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629306",
            "telephone_number": "352-205-8027",
            "fax_number": "352-430-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUADE",
        "first_name": "COLLEEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-14",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "46831",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "P00269173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.