NPIMap

Organization Active NPI

Quality Care Associates Urgent Care and Wellness Center, LLC

  • Family Medicine Physician
  • Marietta, OH
National Provider Identifier
1619442837
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
QUALITY CARE ASSOCIATES URGENT CARE AND WELLNESS CENTER, LLC
Doing business as
Quality Care Associates Urgent Care and Wellness Center, LLC
Practice address
416 Front St
Marietta, OH 45750-2124
Phone
(740) 516-6062
NPI assigned
Oct 4, 2018
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Jeffery Patey, MD
Title
Account Executive
Phone
(740) 516-6062

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

416 Front St
Marietta, OH 45750-2124

Mailing address

416 Front St
Marietta, OH 45750-2124

Other identifiers 1

IdentifierTypeStateIssuer
0893896MedicaidOH

Other names 1

  • Quality Care Associates Urgent Care and Wellness Center, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313003040 OH Part B Supplier - Clinic/Group Practice 7810237625 Receives reassigned benefits from 12 practitioners
Practice locations: Marietta, OH

National Provider Directory

National Provider Directory

Locations

416 Front St
Ste A
Marietta, OH 45750
Phone (469) 217-4118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18451/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1619442837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 FRONT ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 FRONT ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502124",
            "telephone_number": "740-516-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE ASSOCIATES URGENT CARE AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "PATEY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "ACCOUNT EXECUTIVE",
        "authorized_official_telephone_number": "740-516-6062",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893896",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care Associates Urgent Care and Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Care Associates Urgent Care and Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.