Richard K Noble, MD
Individual provider Active NPI Family Medicine Physician · Quincy, IL
NPI 1366415671 · NPPES record last updated Feb 10, 2010
Key facts
- NPI
- 1366415671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036069510 (IL)
- Practice address
- 1025 Maine St
Quincy, IL 62301-4038 - Phone
- (217) 222-6550
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100429000584 | IL | Practitioner - Family Practice | 3577690171 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069510 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current |
Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current |
Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients |
Locations
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
Interoperability endpoints
- rnoble198155@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036069510 | IL | Yes |
Addresses
Primary practice location
1025 Maine St
Quincy, IL 62301-4038
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069510 | Medicaid | IL |
Other providers in Quincy, IL
- Michelle Dianne Niehaus
- Adam Christopher Niemann
- Andrea S. Niemann
- Abigail Jemima Nieters
- Anitha Nimmagadda
- Chad Allen Noggle
- Norris Clinic PC
- John Henry Norris Jr.
- Amy North
- Northland Hearing Centers, Inc
All providers in Quincy, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.