Active NPI
Hans Albert Quistorff, LMP
- Specialist
- Gig Harbor, WA
National Provider Identifier
1659519775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA OOOO8159
- Practice address
- 13414 138TH Avenue KP N
Gig Harbor, WA 98329-5303 - Phone
- (253) 851-4212
- NPI assigned
- Jan 27, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA OOOO8159 | WA | Primary |
Addresses
Primary practice location
13414 138TH Avenue KP N
Gig Harbor, WA 98329-5303
Mailing address
PO Box 65
Wauna, WA 98395-0065
Phone (253) 851-4212
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA OOOO8159 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1659519775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65",
"city": "WAUNA",
"state": "WA",
"postal_code": "983950065",
"telephone_number": "253-851-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13414 138TH AVENUE KP N",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983295303",
"telephone_number": "253-851-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUISTORFF",
"first_name": "HANS",
"middle_name": "ALBERT",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA OOOO8159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.