NPIMap

Individual provider Active NPI

Ronald Joseph Quam, DO

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Everett, WA
National Provider Identifier
1306908033
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
OP60560353 Issued in WA
Practice address
3726 Broadway
Suite 201
Everett, WA 98201-3787
Phone
(425) 317-9119
Fax
(425) 317-9118
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OP60560353 WA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OP60560353 WA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X OP60560353 WA Primary

Addresses

Primary practice location

3726 Broadway
Suite 201
Everett, WA 98201-3787

Mailing address

3726 Broadway
Suite 201
Everett, WA 98201-3787
Phone (425) 317-9119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922001296 WA Practitioner - Orthopedic Surgery 0941367478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

3726 Broadway
Suite 201
Everett, WA 98201-3788
Phone (425) 317-9119

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2016 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2016 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 23, 2018 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Providence Health & Services- Washington CurrentSince Jul 23, 2018 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Western Washington Medical Group, Inc PS Orthopaedic Surgery Past Accepting new patients
Scott Watkins MD PC Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Memorial Hospital and Medical Center of Cumberland, Inc. Past Accepting new patients

Locations

3726 Broadway
Ste 201
Everett, WA 98201
Phone (425) 317-9119

3822 Colby Ave
#100
Everett, WA 98201
Phone (425) 259-4041

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

3726 Broadway
Ste 206
Everett, WA 98201
Phone (425) 374-5160

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: rquam726876@direct.multicare.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1306908033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 BROADWAY",
            "address_2": "SUITE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013787",
            "telephone_number": "425-317-9119",
            "fax_number": "425-317-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 BROADWAY",
            "address_2": "SUITE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013787",
            "telephone_number": "425-317-9119",
            "fax_number": "425-317-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAM",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "OP60560353",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "OP60560353",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "WA",
            "license": "OP60560353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.