Individual provider Active NPI

Quintin Orville Law, MD

  • Internal Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1952391179
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME59640 Issued in FL
Practice address
204 Center St
Gulf Breeze, FL 32561-4392
Phone
(850) 932-3456
Fax
(850) 932-8697
NPI assigned
Oct 27, 2005
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME59640 FL Primary

Addresses

Primary practice location

204 Center St
Gulf Breeze, FL 32561-4392

Mailing address

208 Navarre St
Gulf Breeze, FL 32561-4130
Phone (850) 982-3456

Other identifiers 1

IdentifierTypeStateIssuer
379277300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110318000089 FL Practitioner - Internal Medicine 6103882402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

204 Ctr St
Gulf Breeze, FL 32561-4392
Phone (850) 982-3456

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Associates LLC CurrentSince Jul 1, 2014 Accepting new patients
Perdido Rentals, LLC Internal Medicine CurrentSince Jan 2, 2023 Accepting new patients
Medical Professional Agency Inc Past Accepting new patients
Gulf Coast Physician Partners Past Accepting new patients

Locations

204 Center St
Gulf Breeze, FL 32561
Phone (850) 932-5348

913 Gulf Breeze Pkwy
Ste 36
Gulf Breeze, FL 32561
Phone (850) 319-9102

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

9400 University Pkwy
Ste 101C
Pensacola, FL 32514
Phone (850) 208-6400

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

Interoperability endpoints

  • Direct secure messaging: quintin.law.1@27947.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1952391179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NAVARRE ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614130",
            "telephone_number": "850-982-3456",
            "fax_number": "850-932-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CENTER ST",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614392",
            "telephone_number": "850-932-3456",
            "fax_number": "850-932-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "QUINTIN",
        "middle_name": "ORVILLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379277300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.