Active NPI
Dr. Quinn Ear, Nose & Throat, PC
- Medical Specialty Clinic/Center
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 30709
- Legal business name
- DR. QUINN EAR, NOSE & THROAT, PC
- Practice address
- 25 Lake Concord Rd NE
Concord, NC 28025-3015 - Phone
- (704) 782-6673
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Patel Quinn, M.D.
- Title
- President
- Phone
- (704) 782-6673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 30709 | NC | Primary |
Addresses
Primary practice location
25 Lake Concord Rd NE
Concord, NC 28025-3015
Mailing address
25 Lake Concord Rd NE
Concord, NC 28025-3015
Phone (704) 782-6673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8969744 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2015425 | Dr Quinn Ear Nose and Throat | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
25 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 782-6673
1933 Jake Alexander Blvd W
Ste 101
Salisbury, NC 28147
Phone (704) 637-3778
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Concord, NC
- NPI 1538279120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1518136415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LAKE CONCORD RD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253015",
"telephone_number": "704-782-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LAKE CONCORD RD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253015",
"telephone_number": "704-782-6673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. QUINN EAR, NOSE & THROAT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "QUINN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "PATEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-782-6673",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NC",
"license": "30709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8969744",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.