Organization Active NPI

J E Quarters DO PC

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1376871616
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JQ004394 Issued in MI
Legal business name
J E QUARTERS DO PC
Practice address
1438 Schust Rd
Saginaw, MI 48604-1030
Phone
(989) 753-0681
Fax
(989) 753-9587
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Jack E Quarters, D.O.
Title
Doctor
Phone
(989) 753-0681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X JQ004394 MI Primary

Addresses

Primary practice location

1438 Schust Rd
Saginaw, MI 48604-1030

Mailing address

1438 Schust Rd
Saginaw, MI 48604-1030
Phone (989) 753-0681

Other identifiers 1

IdentifierTypeStateIssuer
1012285MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1376871616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 SCHUST RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486041030",
            "telephone_number": "989-753-0681",
            "fax_number": "989-753-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 SCHUST RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486041030",
            "telephone_number": "989-753-0681",
            "fax_number": "989-753-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J E QUARTERS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "QUARTERS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "989-753-0681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JQ004394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012285",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.