Individual provider Active NPI

William Brian Quinn, DPM

  • Foot & Ankle Surgery Podiatrist
  • Stevens Point, WI
National Provider Identifier
1043298029
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
497-025 Issued in WI
Practice address
140 N Wilshire Dr
Stevens Point, WI 54481-1360
Phone
(715) 341-1266
Fax
(715) 341-1268
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 497-025 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 497-025 WI Primary

Addresses

Primary practice location

140 N Wilshire Dr
Stevens Point, WI 54481-1360

Mailing address

140 N Wilshire Dr
Stevens Point, WI 54481-1360
Phone (715) 341-1266

Other identifiers 3

IdentifierTypeStateIssuer
13812OtherWISECURITY HEALTH
43204800MedicaidWI
27895OtherWINETWORK HEALTH INS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
497-025WIMDFoot & Ankle Surgery Podiatrist
497WIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1043298029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N WILSHIRE DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811360",
            "telephone_number": "715-341-1266",
            "fax_number": "715-341-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N WILSHIRE DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811360",
            "telephone_number": "715-341-1266",
            "fax_number": "715-341-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "497-025",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "497-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH",
            "identifier": "13812",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43204800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH INS",
            "identifier": "27895",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.