Stewart W Quisling, MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C323000 Issued in CA

Legal business name

STEWART W QUISLING, MD INC

Practice address

3340 Tully Rd
Suite D-2
Modesto, CA 95350

Phone

(209) 523-5195

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stewart Quisling, M.D.

Title

Ceo

Phone

(209) 523-5195

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1912090622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE",
            "address_2": "SUITE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD",
            "address_2": "SUITE D-2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-523-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART W QUISLING, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "QUISLING",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-523-5195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C323000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "183864900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Adrian Sterling, MD
• Steven Peretiatko MD a Medical Corporation
• Steven R Wunschel MD
• Steven R Wunschel MD Inc
• Teresa Stevenson
• Alexandria Stewart
• Allison Stewart
• Amber N Stewart, D.C.
• Brandon Stewart
• Casey Stewart

• Psychiatry Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.