Individual provider Active NPI

Teresa Ellen Quinlin, M.D.

  • Family Medicine Physician
  • Canal Winchester, OH
National Provider Identifier
1770634149
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35052456 Issued in OH
Practice address
28 E Waterloo St
Canal Winchester, OH 43110-1138
Phone
(614) 833-1500
Fax
(614) 833-4024
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35052456 OH Primary

Addresses

Primary practice location

28 E Waterloo St
Canal Winchester, OH 43110-1138

Mailing address

28 E Waterloo St
Canal Winchester, OH 43110-1138
Phone (614) 833-1500

Other identifiers 1

IdentifierTypeStateIssuer
0626817MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000315 OH Practitioner - Family Practice 9436285541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 E Waterloo St
Canal Winchester, OH 43110-1138
Phone (614) 833-1500

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
T.E.Q. & Associates, Inc. Family Medicine CurrentSince Sep 1, 1991 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

28 E Waterloo St
Canal Wnchstr, OH 43110
Phone (614) 833-1500

Organizations & group practices 2

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770634149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E WATERLOO ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101138",
            "telephone_number": "614-833-1500",
            "fax_number": "614-833-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E WATERLOO ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101138",
            "telephone_number": "614-833-1500",
            "fax_number": "614-833-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLIN",
        "first_name": "TERESA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626817",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.