Organization Active NPI

Carolyn W. Quist, DO, PA

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1942500913
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H2705 Issued in TX
Legal business name
CAROLYN W. QUIST, DO, PA
Practice address
1425 8TH Avenue
Suite 101
Fort Worth, TX 76104-4137
Phone
(817) 926-1313
Fax
(817) 926-7434
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Dr. Carolyn W Quist, D.O.
Title
President
Phone
(817) 926-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X H2705 TX Primary

Addresses

Primary practice location

1425 8TH Avenue
Suite 101
Fort Worth, TX 76104-4137

Mailing address

1425 8TH Avenue
Fort Worth, TX 76104-4137
Phone (817) 926-1313

Other identifiers 2

IdentifierTypeStateIssuer
1649272972OtherTXMEDICARE NPI
1255093-05MedicaidTX

National Provider Directory

National Provider Directory

Locations

1425 8th Ave
Ste 101
Ft Worth, TX 76104
Phone (817) 926-1313

1307 8th Ave
Ste 101
Ft Worth, TX 76104
Phone (817) 926-1097

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIAAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1942500913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 8TH AVENUE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-926-1313",
            "fax_number": "817-926-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 8TH AVENUE",
            "address_2": "SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-926-1313",
            "fax_number": "817-926-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN W. QUIST, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "QUIST",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-926-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H2705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1649272972",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255093-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.