Jeffery Lanier Quick Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

010210 Issued in AZ

Practice address

300 S 6TH St
Williams, AZ 86046-0110

Phone

(928) 635-4441

NPI assigned

Jun 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Healthcare IncGroup PAC ID 8820981053, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Guidance Center Inc

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1679563290

  AZ

  Medicare reassignment NPD
• El Rio Santa Cruz Neighborhood Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1487602736

  AZ

  Medicare reassignment
• North Country Healthcare, Inc.

  • Pediatrics Physician
  • Flagstaff, AZ
  • NPI 1669911764
  Care Compare group NPD (past)
• North Country Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kingman, AZ
  • NPI 1023432424
  Care Compare group
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Bullhead, AZ
  • NPI 1760798680
  Care Compare group
• Guidance Center Inc

  • Community/Behavioral Health Agency
  • Williams, AZ
  • NPI 1316014459
  NPD
• North Country Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1053587261
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1073583472
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Show Low, AZ
  • NPI 1073740098
  NPD
• North Country Healthcare, Inc.

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1619345675

  Family Medicine

  NPD
• Flagstaff Medical Center

  • General Acute Care Hospital
  • Flagstaff, AZ
  • NPI 1780635078
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1821665571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033630",
            "telephone_number": "928-522-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860460110",
            "telephone_number": "928-635-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Clinic Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Canyon",
            "state": "AZ",
            "postal_code": "860230290",
            "country_code": "US",
            "telephone_number": "928-638-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860041816",
            "country_code": "US",
            "telephone_number": "928-522-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICK",
        "first_name": "JEFFERY",
        "middle_name": "LANIER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "010210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "010210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Healthcare Inc. Williams Urgent Care
• North Country Healthcare, Inc.
• Sarah A. Notter, M.D.
• Timothy Scott Paulson Jr., DMD
• Ponderosa Assisted Living
• Shelby W Reid, PT
• Rocky Mountain Holdings, LLC
• Safeway Inc
• Jason W Schmit, DPT
• Bahman Shahlori, DAC

• All providers in Williams, AZ
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.