Clifford C Quintana, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00022684 Issued in AL

Practice address

2812 Hartford Hwy Ste 1
Dothan, AL 36305-4927

Phone

(334) 712-1170

Fax

(334) 460-8391

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Resource Managment of Wiregrass, LLCGroup PAC ID 5698714525, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alabamaclinics.cliffordquintana@157820.advancedmd-direct.com

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.

• Professional Resource Managment of Wiregrass, LLC

  • Psychiatry Physician
  • Ozark, AL
  • NPI 1740358837

  AL

  Medicare reassignment Care Compare group NPD
• Meghani Medical, PC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1942235460
  NPD
• Professional Resource Management of Wiregrass, LLC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1033495221
  NPD
• Professional Resource Management of Wiregrass, LLC

  • Neurology Physician
  • Dothan, AL
  • NPI 1801163506
  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1366470122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 HARTFORD HWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054927",
            "telephone_number": "334-712-1170",
            "fax_number": "334-460-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 HARTFORD HWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054927",
            "telephone_number": "334-712-1170",
            "fax_number": "334-460-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "AL",
            "postal_code": "363603726",
            "country_code": "US",
            "telephone_number": "334-774-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "CLIFFORD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00022684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144475",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard Terry Pynes, MD
• Emma L Quadlander-Goff, PH.D., LPC, NCC
• Jenny Quevedo, PHD
• Quick Labs
• Sandra Michele Quinn, CRNP
• Robin Gay Quire, RN
• Muhammad Ahmer Qureshi
• Joy Marie Rabon, L.M.F.T.
• Rachel E Swope Licsw Counseling and Consulting Services LLC
• Radiology Associates of Dothan PC

• All providers in Dothan, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.