Provider Demographics
NPI:1023095031
Name:QUINBY, JAMES L (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:QUINBY
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 1:1327 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2606
Mailing Address - Country:US
Mailing Address - Phone:303-399-1138
Mailing Address - Fax:
Practice Address - Street 1:1327 HIGH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2606
Practice Address - Country:US
Practice Address - Phone:303-399-1138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22642207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV119531000Medicaid
NE84113438513Medicaid
KY6407364600Medicaid
NMV8008Medicaid
KS100118440BMedicaid
MT3506685Medicaid
CO01226422Medicaid
ID808179200Medicaid
ID808179200Medicaid
NE84113438513Medicaid
KS100118440BMedicaid