Robert Edward Quinlan Jr., D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5101013684 Issued in MI

Practice address

950 Blue Star Hwy
Suite 1-2
South Haven, MI 49090-7759

Phone

(269) 637-1388

Fax

(269) 637-1459

NPI assigned

Jul 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Bloomsburg Physicians Services

  • Family Medicine Physician
  • Bloomsburg, PA
  • NPI 1457543290
  NPD (past)
• Cardiology Group, PC

  • Cardiovascular Disease Physician
  • Tullahoma, TN
  • NPI 1043425705

  Cardiovascular Disease

  NPD (past)
• Pee Dee Cardiology Associates PA

  • Cardiovascular Disease Physician
  • Florence, SC
  • NPI 1437176872

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1669786158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BLUE STAR HWY",
            "address_2": "SUITE 1-2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907759",
            "telephone_number": "269-637-1388",
            "fax_number": "269-637-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BLUE STAR HWY",
            "address_2": "SUITE 1-2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907759",
            "telephone_number": "269-637-1388",
            "fax_number": "269-637-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101013684",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101013684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENCE 5101013684",
            "identifier": "5101013684",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise L Phillips
• PPSH Chiropractic Clinics, PLLC
• Jill Priebe
• Brian Scott Pullen, PHARMD
• Kashif Qamer, RPH
• Tracy Ralicki, OTR
• Randall Scott Davis
• Elizabeth A Rasmussen, MSW
• Renal Care Group Southwest Michigan, LLC
• Ripple Effects Autism Learning Center, LLC

• All providers in South Haven, MI
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.