Active NPI
William Quan, MD, FAAP, FRCPC
- Pediatrics Physician
- Peabody, MA
National Provider Identifier
1306179783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 240809
- Practice address
- 10 Centennial Dr
Peabody, MA 01960-7938 - Phone
- (978) 535-1110
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 240809 | MA | Primary |
Addresses
Primary practice location
10 Centennial Dr
Peabody, MA 01960-7938
Mailing address
10 Centennial Dr
Peabody, MA 01960-7938
Phone (978) 535-1110
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240809 | MA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1306179783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019607938",
"telephone_number": "978-535-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTENNIAL DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019607938",
"telephone_number": "978-535-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAN",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD, FAAP, FRCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "240809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.