Quincy Physicians & Surgeons Clinic, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

Practice address

868 Mortimer St
Barry, IL 62312-1249

Phone

(217) 335-2343

NPI assigned

May 29, 2007

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

QUINCY PHYSICIANS & SURGEONS CLINIC, PLLCAs reported in NPPES

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 Barry Affiliate Other name

Part of

Quincy Med GRP Lewistow

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1902007040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 MORTIMER ST",
            "city": "BARRY",
            "state": "IL",
            "postal_code": "623121249",
            "telephone_number": "217-335-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 MORTIMER ST",
            "city": "BARRY",
            "state": "IL",
            "postal_code": "623121249",
            "telephone_number": "217-335-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quincy Medical Group Barry Affiliate",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen T Liesen, DMD
• Misti Jo McCallister, MS, RDN
• Christine Ann Nation, M.A., CCC-SLP
• Pharmacy Plus, Inc
• Quincy Physicians & Surgeons Clinic, PLLC (Quincy Medical Group Barry Affiliate)
• Korhan B Raif, MD
• Stefanie Jane Rennecker, LPC
• Brett R Schafer, DMD
• Corinna Jo Sheppard, MSN, FNP-C
• Spot Providers

• Durable Medical Equipment & Medical Supplies in Barry, IL
• Providers in Barry, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.