Provider Type Icon

DR. JACK B QUIGLEY MD NPI 1861495137


NPI Information

NPI: 1861495137
Provider Name: DR. JACK B QUIGLEY, MD
Classification: Plastic Surgery - 208200000X
Entity Type: Individual
Organization: PLASTIC SURGEONS OF NORTHERN ARIZONA, PLLC

PECOS Registration: Yes

Address:
1020 N SAN FRANCISCO ST
# 200
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 774-2300
Get Directions

DR. Jack B Quigley, MD is a plastic surgery in Flagstaff, AZ with 41 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Jack B Quigley, MD NPI is 1861495137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

1020 N SAN FRANCISCO ST
# 200
FLAGSTAFF, AZ
ZIP 86001-281
Phone: (928) 774-2300
Fax: (928) 214-2150

The NPI 1861495137 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)

The enumeration date for this NPI number is 5/31/2005 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery20243ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18607474153000OTHERARIZONATAX ID
22004440OTHERARIZONACIGNA
3AZ0355110OTHERARIZONABLUE CROSS BLUE SHIELD AZ
4WCLHN02MEDICARE ID-TYPE UNSPECIFIEDARIZONA
5E92888MEDICARE UPINARIZONA
620243OTHERARIZONAAZ LICENSE
718032746OTHERARIZONASTATE COMP AZ
8P054768MEDICAIDARIZONA
9054768MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.