NPIMap

Individual provider Active NPI

Gregory A Quin, MD

  • Legal Medicine
  • Peru, IN
National Provider Identifier
1548260714
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
1045818 Issued in IN
Practice address
302 N Duke Street
Peru, IN 46970-1520
Phone
(765) 472-3944
Fax
(765) 472-3945
NPI assigned
Jul 28, 2005
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 1045818 IN Primary

Addresses

Primary practice location

302 N Duke Street
Peru, IN 46970-1520

Mailing address

302 N Duke Street
Peru, IN 46970-1520
Phone (765) 472-3944

Other names 1

  • Dr. Gregory A Quin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040322001703 IN Practitioner - Internal MedicinePractitioner - Nuclear Medicine 0840181673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

302 N Duke St
Peru, IN 46970-1520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1045818INMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrative Medicine and Chiropractice Wellness Center PC Past Accepting new patients
Nufinity, LLC Past Accepting new patients
Primariahealth, PC Past Accepting new patients
Ekg Interpretation Professionsals Past Accepting new patients
St. Joseph Primary Care, LLC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1548260714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N DUKE STREET",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701520",
            "telephone_number": "765-472-3944",
            "fax_number": "765-472-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N DUKE STREET",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701520",
            "telephone_number": "765-472-3944",
            "fax_number": "765-472-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIN",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IN",
            "license": "1045818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "QUIN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.