Individual provider Active NPI

Barbara Jean Quillin, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1053418517
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04414 Issued in TX
Practice address
7703 Floyd Curl Dr
MC 6249
San Antonio, TX 78229-3901
Phone
(210) 567-4248
Fax
(210) 567-4241
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04414 TX Primary

Addresses

Primary practice location

7703 Floyd Curl Dr
MC 6249
San Antonio, TX 78229-3901

Mailing address

142 Shannon RDG
Floresville, TX 78114-6501
Phone (830) 393-2875

Other identifiers 1

IdentifierTypeStateIssuer
PA04414OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208001973 TX Practitioner - Physician Assistant 2769566231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04414TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
C,L and W PLLC CurrentSince Dec 30, 2023 Accepting new patients
Abk Emergency Physicians PLLC Past Accepting new patients
Ramsey Inpatient Physicians PLLC Past Accepting new patients
MCH Professional Care Past Accepting new patients

Locations

4009 Ridgemont Dr
Abilene, TX 79606
Phone (325) 232-8830

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1053418517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SHANNON RDG",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781146501",
            "telephone_number": "830-393-2875",
            "fax_number": "830-393-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "address_2": "MC 6249",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-567-4248",
            "fax_number": "210-567-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIN",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA04414",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.