Individual provider Active NPI

Stephen Frederick Quinn, MD

  • Diagnostic Radiology Physician
  • Brentwood, TN
National Provider Identifier
1609836071
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD15758 Issued in OR
Practice address
8 Cadillac Dr
Ste 200
Brentwood, TN 37027-5087
Phone
(615) 376-7360
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD39439 TN
Diagnostic Radiology Physician 2085R0202X TM2004-0831 NM
Diagnostic Radiology Physician 2085R0202X MD15758 OR Primary
Diagnostic Radiology Physician 2085R0202X 39159 KY

Addresses

Primary practice location

8 Cadillac Dr
Ste 200
Brentwood, TN 37027-5087

Mailing address

308 N Peters Rd
Ste 225
Knoxville, TN 37922-2327
Phone (865) 694-0062

Other identifiers 2

IdentifierTypeStateIssuer
211664MedicaidOR
3327784MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040315000926 OR Practitioner - Diagnostic Radiology 2668374927 Reassigns benefits to 3 organizations
I20050303000503 TN Practitioner - Diagnostic Radiology 2668374927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Carolina at Chapel Hill School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians
Southern Coos Health DistrictGroup PAC ID 1951219310, 25 clinicians

Practice addresses (Care Compare)

1600 State St
Salem, OR 97301-4257
Phone (503) 561-5200

900 11TH St SE
Bandon, OR 97411-9114
Phone (541) 347-2426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39159KYMDDiagnostic Radiology Physician
TM2004-0831NMMDDiagnostic Radiology Physician
MD39439TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Sep 29, 2023 Accepting new patients
Salem Health CurrentSince Sep 29, 2023 Accepting new patients
Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients
Oregon Imaging Centers, L.L.C. Diagnostic Radiology PastSince Dec 8, 2024 Accepting new patients

Locations

1600 State St
Salem, OR 97301
Phone (503) 540-6472

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1609836071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N PETERS RD",
            "address_2": "STE 225",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222327",
            "telephone_number": "865-694-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR",
            "address_2": "STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275087",
            "telephone_number": "615-376-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "STEPHEN",
        "middle_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD39439",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "TM2004-0831",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD15758",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "39159",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211664",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3327784",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.