Carolyn Virginia Quillin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02668 Issued in TX

Practice address

2565 Bay Area Blvd
Houston, TX 77058-1521

Phone

(281) 480-7272

Fax

(281) 480-7373

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Shelley a. Sekula, M.D. P.a.

  • Dermatology Physician
  • Houston, TX
  • NPI 1629130380
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1831295534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770581521",
            "telephone_number": "281-480-7272",
            "fax_number": "281-480-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770581521",
            "telephone_number": "281-480-7272",
            "fax_number": "281-480-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIN",
        "first_name": "CAROLYN",
        "middle_name": "VIRGINIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Quidilla
• Quiet Minds Counseling
• Eamonn Martin Quigley, M.D.
• Melissa B Quigley, ATC, LAT, CSCS
• Astrid V Quijano, PA-C
• Quilted Care - Houston, LLC
• Quilted Care Choices, LLC
• Quilted Care Choices, LLC
• Yonnedys Quincoces Durand, LMT
• Tiffany Quini, LMSW

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.