Shaun Steven Quam, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04491 Issued in IA

Practice address

1214 S Grant Rd
Carroll, IA 51401-3102

Phone

(712) 792-1500

Fax

(712) 792-7597

NPI assigned

Jun 6, 2012

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: squam72297@directmcfarlandclinic.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.

• McFarland Clinic PC

  • Multi-Specialty Clinic/Center
  • Ames, IA
  • NPI 1639135643

  IA

  Medicare reassignment Care Compare group NPD
• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508

  IA

  Medicare reassignment NPD
• Broadlawns Medical Center

  • Pharmacy
  • Des Moines, IA
  • NPI 1013197060
  NPD
• McFarland Clinic, PC

  • Eyewear Supplier
  • Boone, IA
  • NPI 1528149457
  NPD (past)

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

• St Anthony Regional Hospital and Nursing Home

  • Critical Access Hospital
  • Carroll, IA
  • NPI 1720067127

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1376804229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 S GRANT RD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013102",
            "telephone_number": "712-792-1500",
            "fax_number": "712-792-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S GRANT RD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013102",
            "telephone_number": "712-792-1500",
            "fax_number": "712-792-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAM",
        "first_name": "SHAUN",
        "middle_name": "STEVEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "04491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "squam72297@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1214 S Grant Rd",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "514013102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Ann Potthoff, D.C.
• Pudenz Family Chiropractic Clinic
• Daphne Ann Pudenz, M.D.
• Jason Michael Pudenz, DC
• Carly M. Quam, DO
• Natalie Queen
• Kurtis Ramsey
• Emmalie Rose Rasmussen, D.P.T
• Real Optics Inc
• Region XII Council of Governments, Inc.

• All providers in Carroll, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.