Provider Demographics
NPI:1932391216
Name:ARTURO L QUITO MD PC
Entity type:Organization
Organization Name:ARTURO L QUITO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-447-6843
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37367-0429
Mailing Address - Country:US
Mailing Address - Phone:423-447-6843
Mailing Address - Fax:
Practice Address - Street 1:120 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37367
Practice Address - Country:US
Practice Address - Phone:423-447-6843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD13767261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3189092Medicaid
TN3383849Medicaid
TN3383849Medicare PIN
TN3383849Medicaid
TN3189093Medicare PIN
TN1851374540Medicare PIN