Kenneth Quick, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PD117R Issued in LA

Practice address

233 St Ann Dr
Suite 4
Mandeville, LA 70471-3395

Phone

(985) 727-3936

Fax

(985) 727-3525

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4

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.

• Northlake Neurological Institute LLC

  • Neurology Physician
  • Lacombe, LA
  • NPI 1689997561
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1235174434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ST ANN DR",
            "address_2": "STE 4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713395",
            "telephone_number": "985-727-3936",
            "fax_number": "985-727-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ST ANN DR",
            "address_2": "SUITE 4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713395",
            "telephone_number": "985-727-3936",
            "fax_number": "985-727-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "KENNETH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "PD117R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925560",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Silva Priola
• Lisa Beth Pritchett, RPH
• Leslie Webster Quartano, MSW, LC SW
• Ross Webster Quartano, D.D.S.
• Georgia Dahmes Queyrouze, LCSW
• R & J Management, LLC
• R&R Home Care, Inc.
• R&R Rehab, LLC
• Shelley Radosta, DC
• Radovi LLC

• Foot & Ankle Surgery Podiatrist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Foot & Ankle Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.