Nii Saban Quao MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NII SABAN QUAO MD PC

Practice address

519 Enon Springs Rd E
Smyrna, TN 37167-4446

Phone

(615) 355-1994

Fax

(615) 355-1846

NPI assigned

Mar 19, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nii Saban Quao, MDNPI 1205903747

Title

President

Phone

(615) 355-1994

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nii Saban Quao, M.D., P.C.

  • Specialist
  • Smyrna, TN
  • NPI 1205903747
  Authorized official Same address or phone

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376818724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674446",
            "telephone_number": "615-355-1994",
            "fax_number": "615-355-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674446",
            "telephone_number": "615-355-1994",
            "fax_number": "615-355-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NII SABAN QUAO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUAO",
        "authorized_official_first_name": "NII",
        "authorized_official_middle_name": "SABAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-355-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3184831",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.