QUILLEN FERTILITY AND WOMEN'S SERVICES
NPI 1780953729
Obstetrics & Gynecology - Reproductive Endocrinology in Johnson City, TN

NPI Status: Active since December 20, 2011

Contact Information

1319 SUNSET DR
SUITE 103
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7246
Fax: (423) 282-4698

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  • Organization
  • Obstetrics & Gynecology
  • Reproductive Endocrinology
  • CLIA Number: 44D2004551
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-20-2027

About QUILLEN FERTILITY AND WOMEN'S SERVICES

This page provides the complete NPI Profile along with additional information for Quillen Fertility And Women's Services, a women's health care provider established in Johnson City, Tennessee operating as a Obstetrics & Gynecology, focusing in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1780953729 assigned on December 2011. The practitioner's primary taxonomy code is 207VE0102X with license number MD35556 (TN). The provider is registered as an organization and their NPI record was last updated 11 years ago. Quillen Fertility And Women's Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Quillen Fertility And Women's Services. The authorized official of this NPI record is Russell E Lewis (Executive Director)

NPI
1780953729
Provider Legal Name
MEDICAL EDUCATION ASSISTANCE CORPORATION
Other Organization Name
QUILLEN FERTILITY AND WOMEN'S SERVICES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1319 SUNSET DR SUITE 103 JOHNSON CITY, TN 37604
Location Phone
(423) 439-7246
Location Fax
(423) 282-4698
Mailing Address
PO BOX 2204 JOHNSON CITY, TN 37605
Mailing Phone
(423) 433-6050
Mailing Fax
(423) 282-4698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2011
Last Update Date
03-30-2015
Code Navigator

Women's health care providers like Quillen Fertility And Women's Services treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Reproductive Endocrinology

Taxonomy Code
207VE0102X
Type
Allopathic & Osteopathic Physicians
License No.
MD35556
License State
TN
Taxonomy Description
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

MD35556 (TN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUSSELL E LEWIS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(423) 433-6050

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3714470MEDICARE PIN (08)TN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2004551
Facility Type
Physician Office
Certificate Effective Date
March 21, 2025
Certificate Expiration Date
March 20, 2027
Laboratory Director
DR. MARK X. RANSOM
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Quillen Fertility And Women's Services after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780953729, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 8 + 5 + 6 + 7 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1780953729.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Emergency Medicine
1319 SUNSET DR, SUITE 201
JOHNSON CITY, TN 37604
Emergency Medicine
1319 SUNSET DR, SUITE 201
JOHNSON CITY, TN 37604
Occupational Therapist
1319 SUNSET DR, SUITE 102
JOHNSON CITY, TN 37604
Physical Therapist (Pediatrics)
1319 SUNSET DR, SUITE 102
JOHNSON CITY, TN 37604
Occupational Therapist (Pediatrics)
1319 SUNSET DR, SUITE102
JOHNSON CITY, TN 37604
Occupational Therapist (Pediatrics)
1319 SUNSET DR, SUITE 102
JOHNSON CITY, TN 37604
Obstetrics & Gynecology (Gynecology)
1319 SUNSET DR, SUITE 103
JOHNSON CITY, TN 37604
Nurse Practitioner (Women's Health)
1319 SUNSET DR, SUITE 103
JOHNSON CITY, TN 37604
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1319 SUNSET DR, SUITE 103
JOHNSON CITY, TN 37604
Obstetrics & Gynecology (Reproductive Endocrinology)
1319 SUNSET DR, SUITE 103
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780953729, enumerated as an "organization" on December 20, 2011.

The provider is located at 1319 SUNSET DR SUITE 103 JOHNSON CITY, TN 37604 and the phone number is (423) 439-7246.

Obstetrics & Gynecology with taxonomy code 207VE0102X and a focus in Reproductive Endocrinology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.