Quentin Wayne Tingle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003646A Issued in IN

Practice address

3443 W 3Rd St
Bloomington, IN 47404-4851

Phone

(812) 353-3443

Fax

(812) 353-3442

NPI assigned

Aug 29, 2016

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1568918654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CASTOR LN",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502496",
            "telephone_number": "812-599-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474044851",
            "telephone_number": "812-353-3443",
            "fax_number": "812-353-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLE",
        "first_name": "QUENTIN",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003646A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Lea Thummel, NP
• Floyd Edward Thurston, M.D.
• Anna Ablamowicz Tichenor, O.D.
• Elysia Tieman, PT, DPT
• Kimberly L Tierney, HAD
• Garry D Tinnes, MD
• Candace Tipton, RBT
• Shelby Renee Tipton, DO
• Kamal Kumar Tiwari, M.D.
• Todd Whitlock, DDS, LLC

• Physician Assistant in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.