Organization Active NPI

Macoupin Family Practice Centers, LLP

Doing business as Carlinville Family Practice

  • Family Medicine Physician
  • Carlinville, IL
National Provider Identifier
1649460510
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MACOUPIN FAMILY PRACTICE CENTERS, LLP
Doing business as
Carlinville Family Practice
Practice address
15574 Route 108
Carlinville, IL 62626-4091
Phone
(217) 854-4319
Fax
(217) 854-2765
NPI assigned
Jul 27, 2007
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Brian L Quarton, MD
Title
Director
Phone
(217) 854-4319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

15574 Route 108
Carlinville, IL 62626-4091

Mailing address

15574 Route 108
Carlinville, IL 62626-4091
Phone (217) 854-4319

Other identifiers 1

IdentifierTypeStateIssuer
1649460510MedicaidIL

Other names 1

  • Carlinville Family Practice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brianquarton@macoupinfm.allscriptsdirect.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Carlinville Family Practice4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15574 Route 108
Carlinville, IL 62626
Phone (217) 854-4319

910 W Main St
Carlinville, IL 62626
Phone (217) 854-4319

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1649460510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15574 ROUTE 108",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626264091",
            "telephone_number": "217-854-4319",
            "fax_number": "217-854-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15574 ROUTE 108",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626264091",
            "telephone_number": "217-854-4319",
            "fax_number": "217-854-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOUPIN FAMILY PRACTICE CENTERS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "QUARTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-854-4319",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649460510",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianquarton@macoupinfm.allscriptsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Brian Quarton",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15574 Route 108",
            "city": "Carlinville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "626264091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carlinville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carlinville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlinville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.