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JUANITA THOMPSON-QUATTLEBAUM MD
NPI 1609704949
Student in an Organized Health Care Education/Training Program in Canton, OH

Active since May 08, 2026PECOS Enrolled
2600 7TH ST SW, CANTON, OH 44710(330) 363-4922(330) 363-4914 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juanita Thompson-quattlebaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANITA THOMPSON-QUATTLEBAUM MD (NPI 1609704949) is an individual student in an organized health care education/training program in Canton, Ohio, licensed in Ohio (57.260699) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609704949
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUANITA THOMPSON-QUATTLEBAUMCredential: MD
Location Address2600 7TH ST SWCanton, OH 44710-1801
Mailing Address2600 7th St SwCanton, OH 44710-1801 · (330) 363-4922 · Fax (330) 363-4914
Phone(330) 363-4922
Fax(330) 363-4914
Sole ProprietorYes
Enumeration DateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1609704949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OH · 57.260699
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2600 7TH ST SW, Canton, OH 44710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juanita Thompson-quattlebaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE BABYAK M.D.
Family Medicine
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6242
AMOLPARKASH SINGH RANDHAWA MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6242
KAOSISOCHUKWU OKEKE MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6211
QIMIN HAI MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
DR. MARIQUITA TOLENTINO BELEN MD
Family Medicine
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6242
OU JI MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
LINDSEY MARIA WALKER DO
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-4922
MICHEAL ANYAELE MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanita Thompson-quattlebaum's NPI number?

The NPI number for Juanita Thompson-quattlebaum is 1609704949. It was assigned to this individual provider in the NPPES registry on May 8, 2026.

Where is Juanita Thompson-quattlebaum located?

Juanita Thompson-quattlebaum practices at 2600 7th St SW, Canton, OH 44710. The listed phone number is (330) 363-4922.

What is Juanita Thompson-quattlebaum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Juanita Thompson-quattlebaum enrolled in Medicare?

Yes. Juanita Thompson-quattlebaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juanita Thompson-quattlebaum was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.