Quantum Genesis Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4796 Issued in FL

Legal business name

QUANTUM GENESIS INC.

Doing business as

West Coast Family Medical Care

Practice address

3165 N McMullen Booth Rd
Suite H
Clearwater, FL 33761-2032

Phone

(727) 787-3911

Fax

(727) 786-2272

NPI assigned

Jul 1, 2005

Last updated

Oct 13, 2016By 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

Dr. David L Hicks, D.O.NPI 1093904815

Title

Physician/Ceo

Phone

(727) 787-3911

Specialties & licenses 1

Addresses

Other names 1

• West Coast Family Medical Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• David L. Hicks, D.O.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1093904815
  Medicare reassignment Care Compare group NPD Authorized official
• Laronda Lynn Lang, ARNP

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1154850683
  Medicare reassignment Care Compare group NPD
• Matthew Hilgart, PA-C

  • Physician Assistant
  • Clearwater, FL
  • NPI 1821756347
  Medicare reassignment
• Rebecca Ann Didi, A.R.N.P.

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1306862958
  NPD (past)
• Craig J Farmer, D.C.

  • Chiropractor
  • Clearwater, FL
  • NPI 1649244351
  NPD (past)
• Trice Lininger, A.R.N.P.

  • Nurse Practitioner
  • Seffner, FL
  • NPI 1316064504
  NPD (past)
• Peter John Walton, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1154498400
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1285631416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 N MCMULLEN BOOTH RD",
            "address_2": "SUITE H",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-787-3911",
            "fax_number": "727-786-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 N MCMULLEN BOOTH RD",
            "address_2": "SUITE H",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-787-3911",
            "fax_number": "727-786-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM GENESIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "727-787-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Family Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Quality Living Home Health Care. LLC (Trilogy Home Healthcare)
• Quest Diagnostics Clinical Laboratories Inc
• Crystal Quiles, APRN
• Angel L Quinones, PT
• Fernando Alexis Quintanilla Leyva
• Diana Marie Quintero, LCSW

• Family Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.