Provider Demographics
NPI:1053443978
Name:QUINN, DONN R (MD)
Entity Type:Individual
Prefix:
First Name:DONN
Middle Name:R
Last Name:QUINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PUTNAM PIKE
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2408
Mailing Address - Country:US
Mailing Address - Phone:401-575-6160
Mailing Address - Fax:401-349-0840
Practice Address - Street 1:2130 MENDON RD
Practice Address - Street 2:SUITE 3-333
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3844
Practice Address - Country:US
Practice Address - Phone:401-235-7310
Practice Address - Fax:401-235-7314
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07513207Q00000X, 207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI939020520Medicare PIN
RI089023187Medicare PIN
RIE53326Medicare UPIN
007010224Medicare PIN