Timothy a Quist DPM, PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07000924A Issued in IN

Legal business name

TIMOTHY A QUIST DPM, PC

Doing business as

Concord Foot & Ankle Clinic

Practice address

24021 US 33 East
Elkhart, IN 46517

Phone

(574) 875-8698

Fax

(574) 875-8749

NPI assigned

Nov 16, 2007

Last updated

Jun 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy A QuistNPI 1770586737

Title

DPM

Phone

(574) 875-8698

Specialties & licenses 1

Addresses

Other names 1

• Concord Foot & Ankle Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Alan Quist, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Elkhart, IN
  • NPI 1770586737
  Authorized official Same address or phone

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1538340716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24021 US 33 EAST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "46517",
            "telephone_number": "574-875-8698",
            "fax_number": "574-875-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24021 US 33 EAST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "46517",
            "telephone_number": "574-875-8698",
            "fax_number": "574-875-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A QUIST DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "QUIST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "574-875-8698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07000924A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Thornton
• Trisha Loray Thrash, RDH
• Miranda Tibbs
• Isabelle Tice
• Annaliese Tilford
• Piyush Tiwari
• Lou Ann Todd, MSW, ACSW,LCSW, LMFT
• Tobin Nathanial Todd, MS, BCBA
• Nova Christeen Tompson
• Jared Toney, PHARMD

• Primary Podiatric Medicine Podiatrist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.