Individual provider Active NPI

Katarina Quintana, PA-C

  • Physician Assistant
  • Canton, OH
National Provider Identifier
1699750448
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50 00 1130 Issued in OH
Practice address
2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702
Phone
(330) 363-2842
Fax
(330) 580-5536
NPI assigned
Dec 14, 2005
Last updated
Nov 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50 00 1130 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702

Mailing address

P.O. Box 72384
Radiology Associates of Canton, Inc.
Cleveland, OH 44192
Phone (888) 686-1837

Other identifiers 1

IdentifierTypeStateIssuer
P00702540OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061020000000 OH Practitioner - Physician Assistant 9739185489 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50 00 1130OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Canton, Inc Physician Assistant CurrentSince Jan 6, 2008 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 22, 2022 Accepting new patients
Orrville Hospital Foundation CurrentSince Feb 22, 2022 Accepting new patients
Radiology Associates of Canton, Inc. CurrentSince Jan 6, 2008 Accepting new patients
Community Health Care Inc. Past Accepting new patients
Columbus Radiology Corp Past Accepting new patients

Locations

75 Glamorgan St
Alliance, OH 44601
Phone (330) 452-8844

155 5th St NE
#H
Barberton, OH 44203
Phone (330) 615-3000

944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1699750448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 72384",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44192",
            "telephone_number": "888-686-1837",
            "fax_number": "330-686-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-2842",
            "fax_number": "330-580-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "KATARINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50 00 1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00702540",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.