Active NPI
John Wakefield Durst, M.D.
- Obstetrics Physician
- The Woodlands, TX
National Provider Identifier
1013932540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- F1520
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113553 | Medicaid | NH |
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.
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37589 | SC | MD | Obstetrics & Gynecology Physician |
| F1520 | TX | MD | Obstetrics 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.