Individual provider Active NPI

Ronald R Quinton, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Olympia, WA
National Provider Identifier
1992756852
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
013713 Issued in LA
Practice address
525 Lilly Rd NE Ste 200
PMG SW Wa Olympia Cardiac Surgery
Olympia, WA 98506-5101
Phone
(360) 493-4510
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00029637 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD00029637 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 013713 LA Primary

Addresses

Primary practice location

525 Lilly Rd NE Ste 200
PMG SW Wa Olympia Cardiac Surgery
Olympia, WA 98506-5101

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (866) 747-2455

Other identifiers 1

IdentifierTypeStateIssuer
1074715MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rquinton95297@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100727000501 WA Practitioner - Cardiac Surgery 5496642241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013713LAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Jul 1, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 27, 2015 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 27, 2015 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Jul 1, 2024 Accepting new patients

Locations

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

300 N Broad St
New Orleans, LA 70119
Phone (504) 293-7918

1430 Tulane Ave
#8050
New Orleans, LA 70112
Phone (504) 988-7808

525 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 493-4510

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

Interoperability endpoints

  • Direct secure messaging: rquinton95297@wm.providencedirect.org

Organizations & group practices 5

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1992756852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LILLY RD NE STE 200",
            "address_2": "PMG SW WA OLYMPIA CARDIAC SURGERY",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065101",
            "telephone_number": "360-493-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTON",
        "first_name": "RONALD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00029637",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD00029637",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "013713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1074715",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rquinton95297@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 Lilly Rd NE Ste 200",
            "address_2": "PMG SW WA Olympia Cardiac Surgery",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.