Individual provider Active NPI

Angel Justice O'Quinn, D.O.

  • Family Medicine Physician
  • Fordsville, KY
National Provider Identifier
1962630988
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03385 Issued in KY
Practice address
44 W Main St
Fordsville, KY 42343-9761
Phone
(270) 276-9953
Fax
(270) 276-9958
NPI assigned
Jun 29, 2009
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 03385 KY Primary

Addresses

Primary practice location

44 W Main St
Fordsville, KY 42343-9761

Mailing address

PO Box 148
Hartford, KY 42347-0148
Phone (270) 298-7411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110318000360 KY Practitioner - Family Practice 9739362419 Reassigns benefits to 1 organization
I20181106002777 VA Practitioner - Family Practice 9739362419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, shared by 10 NPIs, 84 clinicians

Practice addresses (Care Compare)

1211 Main St
Hartford, KY 42347-1619
Phone (270) 298-7411

1211 Old Main St
Hartford, KY 42347-1619

1215 Old Main St
Hartford, KY 42347-1619
Phone (270) 730-5344

1313 N Main St
Beaver Dam, KY 42320-8957
Phone (270) 274-9928

20 E McMurtry Ave
Hartford, KY 42347-1647
Phone (270) 504-1300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC CurrentSince Nov 25, 2018 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Feb 1, 2023 Accepting new patients
Clinch Professional Physician Services LLC Family Medicine CurrentSince Oct 22, 2020 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Oct 22, 2020 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Nov 25, 2018 Accepting new patients
Ohio County Hospital Corporation Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation Family Medicine Past Accepting new patients

Locations

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 596-6375

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • Direct secure messaging: angel.o'quinn@vab.hcadirect.net
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 10

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 2

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1962630988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "270-298-7411",
            "fax_number": "270-298-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W MAIN ST",
            "city": "FORDSVILLE",
            "state": "KY",
            "postal_code": "423439761",
            "telephone_number": "270-276-9953",
            "fax_number": "270-276-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "ANGEL",
        "middle_name": "JUSTICE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fordsville, KY

Sources for this page

Verify at the official NPI Registry.