NPIMap

Individual provider Active NPI

Ronald W. Quenzer, MD

  • Infectious Disease Physician
  • Bremerton, WA
National Provider Identifier
1891755815
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD 60191142 Issued in WA
Practice address
2520 Cherry Ave.
Harrison Medical Center
Bremerton, WA 98310-4229
Phone
(360) 744-6496
Fax
(360) 744-6498
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 85-87 NM
Infectious Disease Physician 207RI0200X MD 60191142 WA Primary
Infectious Disease Physician 207RI0200X G85517 CA

Addresses

Primary practice location

2520 Cherry Ave.
Harrison Medical Center
Bremerton, WA 98310-4229

Mailing address

2520 Cherry Ave.
Harrison Medical Center
Bremerton, WA 98310-4229
Phone (360) 744-6496

Other identifiers 1

IdentifierTypeStateIssuer
34686MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708000489 CO Practitioner - Infectious Disease 1153316450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Rush Medical College of Rush University, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1800 15TH St
Greeley, CO 80631-4563

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G85517CAMDInfectious Disease Physician
85-87NMMDInfectious Disease Physician
MD 60191142WAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Jul 1, 2016 Accepting new patients
Sterling Regional Medcenter CurrentSince Jan 1, 2021 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jul 1, 2016 Accepting new patients
Sterling Regional Medcenter CurrentSince Jan 1, 2021 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients
Restorix Medical Group PLLC PastSince Dec 1, 2012 Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1800 15th St
Ste 210
Greeley, CO 80631
Phone (970) 352-8216

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1891755815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE.",
            "address_2": "HARRISON MEDICAL CENTER",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-744-6496",
            "fax_number": "360-744-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE.",
            "address_2": "HARRISON MEDICAL CENTER",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-744-6496",
            "fax_number": "360-744-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENZER",
        "first_name": "RONALD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NM",
            "license": "85-87",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "MD 60191142",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G85517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34686",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.