Quad M Med PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

44498 Issued in AZ

Legal business name

QUAD M MED PLLC

Practice address

5010 E Shea Blvd
Suite 175
Scottsdale, AZ 85254-4681

Phone

(480) 657-2000

Fax

(480) 657-2011

NPI assigned

May 12, 2016

Organization subpart

No

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

Authorized official

Name

Chele L Banasiak

Title

Manager

Phone

(480) 657-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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

• David C Yao, MD

  • Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1598786345
  Medicare reassignment
• Molly F Walsh, DO

  • Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1275504920
  NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1922454594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "address_2": "SUITE 200 611",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "480-657-2000",
            "fax_number": "480-657-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD",
            "address_2": "SUITE 175",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544681",
            "telephone_number": "480-657-2000",
            "fax_number": "480-657-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD M MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "BANASIAK",
        "authorized_official_first_name": "CHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-657-2000"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "44498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenchen Qian, MD
• Sinong Qian, MD
• QM Services LLC
• Qol Services LLC
• Yihuai Qu
• Quality Anesthesia, LLC
• Quality Care Counseling, LLC
• Quality Life Medical Equipment LLC
• Stephanie Qualman
• Quang Consulting Services, PLC

• Plastic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.