Quincy Physicians & Surgeons Clinic, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

Practice address

1100 E Outer Rd S Ste 4
Canton, MO 63435-1702

Phone

(573) 288-5949

NPI assigned

May 29, 2007

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patty Woerman

Title

Credentialing Specialist

Phone

(217) 222-6550

Specialties & licenses 1

Addresses

Other names 1

• Quincy Medical Group Canton Affiliate Other name

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1891996930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E OUTER RD S STE 4",
            "city": "CANTON",
            "state": "MO",
            "postal_code": "634351702",
            "telephone_number": "573-288-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E OUTER RD S STE 4",
            "city": "CANTON",
            "state": "MO",
            "postal_code": "634351702",
            "telephone_number": "573-288-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "WOERMAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "217-222-6550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quincy Medical Group Canton Affiliate",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kenneth J Oliver, LPC
• Kali Powell, MED, ATC
• Preferred Family Healthcare Inc
• Camden Avery Pye
• Martin Aimar Quijada Mdrid
• Quincy Physicians & Surgeons Clinic, PLLC (Quincy Medical Group Canton Affiliate)
• Emily Rose Schaumburg
• Michael James Schwarzer, MSED, ATC
• Nathan Christopher Shepard
• Stormy Leeann Simons

• Durable Medical Equipment & Medical Supplies in Canton, MO
• Providers in Canton, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.