Active NPI
Wayne F Quillin, MD
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1346439809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101045718
- Practice address
- US Dept of State
M/Med/Qi, Sa-1
Washington, DC 20522-0001 - Phone
- (202) 663-2453
- Fax
- (202) 663-3247
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101045718 | VA | Primary |
Addresses
Primary practice location
US Dept of State
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Mailing address
US Dept of State
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Phone (202) 663-2453
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101045718 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1346439809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "US DEPT OF STATE",
"address_2": "M/MED/QI, SA-1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220001",
"telephone_number": "202-663-2453",
"fax_number": "202-663-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US DEPT OF STATE",
"address_2": "M/MED/QI, SA-1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220001",
"telephone_number": "202-663-2453",
"fax_number": "202-663-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLIN",
"first_name": "WAYNE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101045718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.