Active NPI
Frank Raymond Quint, M.D.
- Family Medicine Physician
- Hebron, IN
National Provider Identifier
1467401885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01033337
- Practice address
- 704 S State Road 2
Hebron, IN 46341-8801 - Phone
- (219) 996-2641
- Fax
- (219) 996-2641
- NPI assigned
- May 10, 2006
- Last updated
- May 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01033337 | IN | Primary |
Addresses
Primary practice location
704 S State Road 2
Hebron, IN 46341-8801
Mailing address
704 S State Road 2
Hebron, IN 46341-8801
Phone (219) 996-2641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100209140A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01033337 | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1467401885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 S STATE ROAD 2",
"city": "HEBRON",
"state": "IN",
"postal_code": "463418801",
"telephone_number": "219-996-2641",
"fax_number": "219-996-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S STATE ROAD 2",
"city": "HEBRON",
"state": "IN",
"postal_code": "463418801",
"telephone_number": "219-996-2641",
"fax_number": "219-996-2641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINT",
"first_name": "FRANK",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01033337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100209140A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.