Active NPI
Omayra M. Quijano-Vega, MD
- Endocrinology, Diabetes & Metabolism Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME109479
- Practice address
- 600 N 2ND St
Harrisburg, PA 17101-1092 - Phone
- (434) 248-7508
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME109479 | FL | Primary |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | ME109479 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | M1299 | TX |
Addresses
Primary practice location
600 N 2ND St
Harrisburg, PA 17101-1092
Mailing address
8 Edwin LN
Palm Coast, FL 32164-6357
Other practice location 1
5718 Westheimer rd
Ste 1000
Houston, TX 77057
Phone (434) 248-7508
Other practice location 2
1667 North Clyde Morris Blvd
Suite 2
Daytona Beach, FL 32117
Phone (434) 248-7508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619032174 | Other | FL | TRICARE |
| 14E4C | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1299 | TX | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nautilus Health Care Group LLC | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Nautilus Health Care Group, LLC | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Vera Endocrine Associates Inc | Current | Accepting new patients | |
| Adena Medical Group LLC | Current | Accepting new patients | |
| Chrysalis Health of Illinois P.C. | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
1667 N Clyde Morris Blvd
#2
Daytona Beach, FL 32117
Phone (386) 274-1414
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
4439 State Route 159
Ste 150
Chillicothe, OH 45601
Phone (740) 779-4700
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Interoperability endpoints
- omayra.quijano-vega.1@19041.direct.athenahealth.com
- omayraquijanovega@fhcpfl.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
- Specialist
- Daytona Beach, FL
- NPI 1841375193
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Endocrinology, Diabetes & Metabolism Physician
- Chicago, IL
- NPI 1245701812
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1619032174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 EDWIN LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321646357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N 2ND ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171011092",
"telephone_number": "434-248-7508"
}
],
"practiceLocations": [
{
"address_1": "5718 Westheimer rd",
"address_2": "Ste 1000",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77057",
"country_code": "US",
"telephone_number": "434-248-7508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1667 North Clyde Morris Blvd",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "32117",
"country_code": "US",
"telephone_number": "434-248-7508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUIJANO-VEGA",
"first_name": "OMAYRA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME109479",
"primary": true
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "FL",
"license": "ME109479",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "M1299",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1619032174",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14E4C",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.