NPIMap

Quinn H Carmichael, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Hibbing, MN

NPI 1669450474 · NPPES record last updated Jun 23, 2021

Key facts

NPI
1669450474
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
40662 (MN)
Practice address
750 E 34TH St
Hibbing, MN 55746-2341
Phone
(218) 262-4881
Fax
(218) 362-6699
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 23

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Itasca Clinic and Hospital (328 clinicians)
Lifecare Medical Center (55 clinicians)
Radiologists Associated in Duluth LTD (45 clinicians)
Range Regional Health Services (349 clinicians)

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500

750 E 34TH St
Hibbing, MN 55746-2341
Phone (218) 262-4881

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

Hospital & facility affiliations

  • Range Regional Health Services Hospital · Hibbing, MN · CCN 240040
  • Grand Itasca Clinic and Hospital Hospital · Grand Rapids, MN · CCN 240064
  • Community Memorial Hospital Hospital · Cloquet, MN · CCN 241364
  • Lifecare Medical Center Hospital · Roseau, MN · CCN 241344
  • Cook Hospital Hospital · Cook, MN · CCN 241312

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI, MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050129000183 WI Practitioner - Diagnostic Radiology 5890745624 Reassigns benefits to 1 organization
I20101004000087 MN Practitioner - Diagnostic Radiology 5890745624 Reassigns benefits to 7 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40662MNMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Medical Center Current
since Nov 14, 2024		 Accepting new patients
Range Regional Health Services Current
since Oct 1, 2024		 Accepting new patients
St. Luke'S Hospital of Duluth Current
since May 5, 2024		 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
Community Memorial Hospital Association Current
since Jul 15, 2011		 Accepting new patients
Lifecare Medical Center Current
since Nov 14, 2024		 Accepting new patients
Range Regional Health Services Current Accepting new patients
Grand Itasca Clinic and Hospital Current
since Sep 1, 2024		 Accepting new patients
Range Regional Health Services Current
since Oct 1, 2024		 Accepting new patients
St. Luke'S Hospital of Duluth Current
since May 5, 2024		 Accepting new patients
Radiologists Associated in Duluth LTD Body Imaging Current
since Apr 30, 2003		 Accepting new patients
Grand Itasca Clinic and Hospital Current
since Sep 1, 2024		 Accepting new patients
St. Luke'S Hospital of Duluth Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

417 Skyline Blvd
Cloquet, MN 55720
Phone (218) 879-1271

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

221 W 4th St
Duluth, MN 55806
Phone (218) 279-4142

23 W Central Entrance
Duluth, MN 55811
Phone (218) 251-3407

1000 E 1st St
Fl 4
Duluth, MN 55805
Phone (218) 722-5513

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

925 E Superior St
Ste 109
Duluth, MN 55802
Phone (218) 336-1223

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

304 N Pokegama Ave
Ste 300
Grand Rapids, MN 55744

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

8496 Enterprise Dr S
Mountain Iron, MN 55768
Phone (217) 741-2250

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

36745 Aiken Rd
Bayfield, WI 54814
Phone (715) 779-3707

Interoperability endpoints

  • Direct secure messaging: qcarmichael292192@fairview.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 40662 MN
Neuroradiology Physician 2085N0700X 40662 MN
Pediatric Radiology Physician 2085P0229X 40662 MN
Therapeutic Radiology Physician 2085R0203X 40662 MN
Vascular & Interventional Radiology Physician 2085R0204X 40662 MN
Diagnostic Ultrasound Physician 2085U0001X 40662 MN
Diagnostic Radiology Physician 2085R0202X 40662 MN Yes

Addresses

Primary practice location

750 E 34TH St
Hibbing, MN 55746-2341

Mailing address

23 W Central Entrance # 160
Duluth, MN 55811-3433
Phone (218) 722-3700

Other identifiers

IdentifierTypeStateIssuer
34067400MedicaidWI
258518900MedicaidMN

Other providers in Hibbing, MN

All providers in Hibbing, MN · Diagnostic Radiology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.