Active NPI
Quality Medical Care, LLC
- Internal Medicine Physician
- Columbia, MD
National Provider Identifier
1265602346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0051958
- Legal business name
- QUALITY MEDICAL CARE, LLC
- Practice address
- 5450 Knoll North Dr
Suite 100
Columbia, MD 21045-2373 - Phone
- (410) 964-4508
- Fax
- (410) 964-4578
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marie-Alberte Boursiquot, M.D.
- Title
- Physician
- Phone
- (410) 964-4508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0051958 | MD | Primary |
Addresses
Primary practice location
5450 Knoll North Dr
Suite 100
Columbia, MD 21045-2373
Mailing address
5450 Knoll North Dr
Suite 100
Columbia, MD 21045-2373
Phone (410) 964-4508
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913310100 | Medicaid | MD | |
| 014N | Other | MD | MEDICARE |
| G62516 | Other | MD | UPIN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1265602346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 KNOLL NORTH DR",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452373",
"telephone_number": "410-964-4508",
"fax_number": "410-964-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 KNOLL NORTH DR",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452373",
"telephone_number": "410-964-4508",
"fax_number": "410-964-4578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY MEDICAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "BOURSIQUOT",
"authorized_official_first_name": "MARIE-ALBERTE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "410-964-4508",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0051958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "913310100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "014N",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G62516",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.