NPIMap

Individual provider Active NPI

Raymond T Quatro, MD

  • Obstetrics & Gynecology Physician
  • Providence, KY
National Provider Identifier
1396700670
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22668 Issued in KY
Practice address
215 E Main St
Providence, KY 42450-1261
Phone
(270) 667-7017
Fax
(270) 667-9065
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X 22668 KY
Obstetrics & Gynecology Physician 207V00000X 22668 KY Primary

Addresses

Primary practice location

215 E Main St
Providence, KY 42450-1261

Mailing address

PO Box 37
Providence, KY 42450-0037
Phone (270) 667-7017

Other identifiers 1

IdentifierTypeStateIssuer
64226681MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000054 KY Practitioner - Obstetrics/Gynecology 2365424975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Care Affiliates, Inc 28 clinicians

Practice addresses (Care Compare)

215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22668KYMDObesity Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Affiliates, Inc CurrentSince Aug 1, 2017 Accepting new patients
Regional Health Care Affiliates, Inc. Current Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Aug 1, 2017 Accepting new patients
Neely & Quatro, PSC Obstetrics & Gynecology Past Accepting new patients

Locations

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

700 Martin Luther King Jr Ave
Henderson, KY 42420
Phone (270) 826-4800

220 N Morgan St
Morganfield, KY 42437
Phone (270) 285-1318

215 E Main St
#215
Providence, KY 42450

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1396700670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424500037",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATRO",
        "first_name": "RAYMOND",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "KY",
            "license": "22668",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "22668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64226681",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, KY

Sources for this page

Verify at the official NPI Registry.