Quintessa Medical Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

037895 Issued in GA

Legal business name

QUINTESSA MEDICAL INC.

Practice address

777 Cleveland Ave SW Ste 602
Atlanta, GA 30315-7116

Phone

(404) 767-8884

Fax

(404) 767-8815

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Shakoora OmonuwaNPI 1548216732

Title

Doctor

Phone

(404) 767-8884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shakoora Cena Omonuwa, M.D.

  • Family Medicine Physician
  • East Point, GA
  • NPI 1548216732
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801948369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 TREE TOPS DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352667",
            "telephone_number": "404-767-8884",
            "fax_number": "404-767-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 602",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157116",
            "telephone_number": "404-767-8884",
            "fax_number": "404-767-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSA MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMONUWA",
        "authorized_official_first_name": "SHAKOORA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "404-767-8884"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "037895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Robert Quintana
• Quintero Medical Institute Corp
• Amanda Quintero
• Diego Quintero, MS
• Laura Quintero, PH.D., BCBA
• Quintessence of Healing, LLC.
• Renee D Quinton, MD
• Kayla Quirin, CGC
• Elizabeth Brennan Quirk, PA-C
• Heather Dina Quirk

• Health Service Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.