Edwin M Quinones, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

13479 Issued in MS

Practice address

4300B W Railroad St
Gulfport, MS 39501-2568

Phone

(228) 863-7393

Fax

(228) 868-6643

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1902895352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-863-7393",
            "fax_number": "228-868-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012568",
            "telephone_number": "228-863-7393",
            "fax_number": "228-868-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "EDWIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "13479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390004447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118272",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Pyles, LCSW, BCD
• Virginia Lorain Quandt, ANP, FNP, DNP
• Clarence R Quave, DPT
• Fauzia F. Quddus, M.D.
• Quest Medical Services Inc
• Barry Michael Quirk Jr., DPT
• R Kimble Doty, Jr DDS,Ms Pediatric Dentistry, PC
• Jeannine A Racey, CGNP
• Rita A Rademacher, LMSW
• Tisha Nicole Radich, COTA/L

• Nephrology Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Nephrology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.