Individual provider Active NPI

Jamie Jo Quintana, D.O.

  • Pediatrics Physician
  • Dubuque, IA
National Provider Identifier
1962675264
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4105 Issued in IA
Practice address
1500 Delhi St
Suite 3500
Dubuque, IA 52001-6321
Phone
(563) 557-5911
Fax
(563) 557-5910
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2005018554 MO
Pediatrics Physician 208000000X 4105 IA Primary

Addresses

Primary practice location

1500 Delhi St
Suite 3500
Dubuque, IA 52001-6321

Mailing address

1500 Delhi St
Suite 3500
Dubuque, IA 52001-6321
Phone (563) 557-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200520001548 AZ Practitioner - Pediatric Medicine 5092882530 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4105IAMDPediatrics Physician
2005018554MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Mar 1, 2020 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Jun 14, 2020 Accepting new patients
Banner Childrens Banner Health Clinic LLC Current Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Jun 14, 2020 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

1075 S Idaho Rd
Ste 206
Apache Junction, AZ 85119
Phone (480) 827-5005

1760 E Florence Blvd
Ste 100
Casa Grande, AZ 85122
Phone (520) 374-6505

1811 E McMurray Blvd
Casa Grande, AZ 85122
Phone (520) 374-2090

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

564 W 9th Pl
Ste 2
Mesa, AZ 85201
Phone (480) 412-6344

1450 S Dobson Rd
Ste B220
Mesa, AZ 85202
Phone (480) 827-5044

1220 S Higley Rd
Ste 101
Mesa, AZ 85206
Phone (480) 615-2010

117 E Main St
Ste A100
Payson, AZ 85541
Phone (928) 474-1714

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1962675264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST",
            "address_2": "SUITE 3500",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016321",
            "telephone_number": "563-557-5911",
            "fax_number": "563-557-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST",
            "address_2": "SUITE 3500",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016321",
            "telephone_number": "563-557-5911",
            "fax_number": "563-557-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "JAMIE",
        "middle_name": "JO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2005018554",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.