Timothy Alan Quist, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07000924A Issued in IN

Practice address

24021 US 33 East
Elkhart, IN 46517

Phone

(574) 875-8698

Fax

(574) 875-8749

NPI assigned

May 24, 2005

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Timothy a Quist DPM, PC

  dba Concord Foot & Ankle Clinic

  • Primary Podiatric Medicine Podiatrist
  • Elkhart, IN
  • NPI 1538340716
  Authorized official Same address or phone

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1770586737",
    "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": {
        "last_name": "QUIST",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07000924A",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000924A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Putt
• Kaley B Puzynski, PA-C
• Saadia Qasim, M.D.
• Mark A. Quiring, M.D.
• Shana Quirk
• Kenneth Francis Raderstorf III, NP
• Johna Ann Radford, FNP-BC
• Fnu Rafaqat, MD
• Hoda Rahmani, MD
• Sunderaj Rajkumar, PT

• 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 14, 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.