Individual provider Active NPI

John Wakefield Durst, M.D.

  • Obstetrics Physician
  • The Woodlands, TX
National Provider Identifier
1013932540
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
F1520 Issued in TX
Practice address
1001 Medical Plaza Dr Ste 280
The Woodlands, TX 77380-3209
Phone
(281) 363-4450
Fax
(281) 292-3462
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 15019 NH
Obstetrics Physician 207VX0000X F1520 TX Primary

Addresses

Primary practice location

1001 Medical Plaza Dr Ste 280
The Woodlands, TX 77380-3209

Mailing address

50 Watertree Dr
The Woodlands, TX 77380-2686
Phone (281) 367-6262

Other identifiers 1

IdentifierTypeStateIssuer
3113553MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
37589SCMDObstetrics & Gynecology Physician
F1520TXMDObstetrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1013932540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WATERTREE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802686",
            "telephone_number": "281-367-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PLAZA DR STE 280",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803209",
            "telephone_number": "281-363-4450",
            "fax_number": "281-292-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "JOHN",
        "middle_name": "WAKEFIELD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NH",
            "license": "15019",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "F1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113553",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.