Physician Compare National (NPI:1447219688)

HEALTHCARE PROVIDER: DONALD ROBERT QUINN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1447219688
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759299761
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040611000290
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	QUINN
	Individual professional last name
Provider First Name	DONALD
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	18765 RIVERSIDE DR
	Group Practice or individual's line 1 address
City	VANSANT
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	24656
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440176
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INDIAN PATH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490114
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WELLMONT LONESOME PINE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490127
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BUCHANAN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	440063
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	JOHNSON CITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	440012
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WELLMONT BRISTOL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1447219688)

HEALTHCARE PROVIDER: DONALD ROBERT QUINN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information