Organization Active NPI

Quality Medical Care, LLC

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1265602346
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0051958 Issued in MD
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

Updated by the provider on Mar 5, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
913310100MedicaidMD
014NOtherMDMEDICARE
G62516OtherMDUPIN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.