Organization Active NPI

Andrew D Quillin MD Dermatology LLC

  • Dermatology Physician
  • Columbus, OH
National Provider Identifier
1922284207
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
74529 Issued in OH
Legal business name
ANDREW D QUILLIN MD DERMATOLOGY LLC
Practice address
170 Northwoods Blvd
Suite 10
Columbus, OH 43235-4711
Phone
(614) 436-7188
Fax
(614) 436-0323
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Andrew D Quillin, MD
Title
Physician
Phone
(614) 436-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 74529 OH Primary

Addresses

Primary practice location

170 Northwoods Blvd
Suite 10
Columbus, OH 43235-4711

Mailing address

170 Northwoods Blvd
Suite 10
Columbus, OH 43235-4711
Phone (614) 436-7188

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0953820Andrew D Quillin MD170 Northwoods Blvd Suite 10, Columbus, OH 43235Provider-performed microscopyNov 11, 2026

National Provider Directory

National Provider Directory

Locations

170 Northwoods Blvd
Columbus, OH 43235
Phone (614) 436-7188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1922284207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD",
            "address_2": "SUITE 10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "614-436-7188",
            "fax_number": "614-436-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD",
            "address_2": "SUITE 10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "614-436-7188",
            "fax_number": "614-436-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D QUILLIN MD DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "QUILLIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "614-436-7188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "74529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.