Active NPI
Virgie U Que, M.D.
- Adolescent Medicine (Internal Medicine) Physician
- Port Clinton, OH
National Provider Identifier
1629253323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 35053050
- Practice address
- 1790 N Lakewood Ave
Port Clinton, OH 43452-2971 - Phone
- (419) 734-4539
- Fax
- (419) 734-6365
- NPI assigned
- Jan 1, 2008
- Last updated
- Jan 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 35053050 | OH | Primary |
Addresses
Primary practice location
1790 N Lakewood Ave
Port Clinton, OH 43452-2971
Mailing address
1790 N Lakewood Ave
Port Clinton, OH 43452-2971
Phone (419) 734-4539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35053050 | OH | MD | Adolescent Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199145600000",
"number": "1629253323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 N LAKEWOOD AVE",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434522971",
"telephone_number": "419-734-4539",
"fax_number": "419-734-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 N LAKEWOOD AVE",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434522971",
"telephone_number": "419-734-4539",
"fax_number": "419-734-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUE",
"first_name": "VIRGIE",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-01",
"last_updated": "2008-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "OH",
"license": "35053050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Clinton, OH
- Panju Prithviraj, M.D.
- Promedica Northwest Ohio Cardiology Consultants, LLC
- Psychological Transitions, Inc
- Quality Primary Care Corporation (Fastrack Urgent Care Corporation)
- Leonardo T Que, M.D.
- Kristen Marie Quisno-Witt, CCC-SLP
- Radiology Services of Ohio, Inc.
- Kevindeep Raju, PHARMD
- Alice H Randolph, EDD MSCP
- Michelle A Rathfelder, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.