Organization Active NPI

Mark Quinlan MD PC

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1710377981
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARK QUINLAN MD PC
Practice address
16945 Frances St
Omaha, NE 68130-2312
Phone
(402) 505-8787
Fax
(402) 933-0371
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mark T Quinlan, MDNPI 1588718696
Title
President
Phone
(402) 505-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16945 Frances St
Omaha, NE 68130-2312

Mailing address

16945 Frances St
Omaha, NE 68130-2312
Phone (402) 505-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311000163 NE Part B Supplier - Clinic/Group Practice 8022334028 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2090584Mark Quinlan MD PC16945 Frances Street, Omaha, NE 68130Provider-performed microscopyJan 26, 2027

National Provider Directory

National Provider Directory

Locations

16945 Frances St
Omaha, NE 68130
Phone (402) 397-7400

16945 Frances St
Ste 200
Omaha, NE 68130
Phone (402) 505-8787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1710377981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16945 FRANCES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302312",
            "telephone_number": "402-505-8787",
            "fax_number": "402-933-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16945 FRANCES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302312",
            "telephone_number": "402-505-8787",
            "fax_number": "402-933-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK QUINLAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-505-8787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.