Individual provider Active NPI

Timothy Robert Quiner, M.D.

  • Family Medicine Physician
  • Corvallis, OR
National Provider Identifier
1912989575
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101051336 Issued in VA
Practice address
2400 NW Kings Blvd
Corvallis, OR 97330-3900
Phone
(541) 757-2400
Fax
(541) 752-0931
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101051336 VA Primary

Addresses

Primary practice location

2400 NW Kings Blvd
Corvallis, OR 97330-3900

Mailing address

2400 NW Kings Blvd
Corvallis, OR 97330-3900
Phone (541) 757-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20131204001559 OR Practitioner - Family Practice 6608002282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corvallis Family Medicine PCGroup PAC ID 8820989700, 12 clinicians

Practice addresses (Care Compare)

2400 NW Kings Blvd
Corvallis, OR 97330-3900
Phone 5417572400108

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051336VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corvallis Family Medicine PC Family Medicine CurrentSince Nov 1, 2013 Accepting new patients

Locations

2400 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 757-2400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDACAA
  • Direct secure messaging: timothy.quiner@corvfm.eclinicaldirectplus.com

Organizations & group practices 1

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 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1912989575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303900",
            "telephone_number": "541-757-2400",
            "fax_number": "541-752-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303900",
            "telephone_number": "541-757-2400",
            "fax_number": "541-752-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINER",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101051336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.