Active NPI
Stephen Michael Quinn, DPM
- Podiatrist
- Pittsfield, MA
National Provider Identifier
1679611917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1438
- Practice address
- 455 South St
Pittsfield, MA 01201-8201 - Phone
- (413) 499-4461
- Fax
- (413) 496-9719
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1438 | MA | Primary |
Addresses
Primary practice location
455 South St
Pittsfield, MA 01201-8201
Mailing address
455 South St
Pittsfield, MA 01201-8201
Phone (413) 499-4461
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679611917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012018201",
"telephone_number": "413-499-4461",
"fax_number": "413-496-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012018201",
"telephone_number": "413-499-4461",
"fax_number": "413-496-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.