Active NPI
Carolyn W. Quist, DO, PA
- Obstetrics & Gynecology Physician
- Fort Worth, TX
National Provider Identifier
1942500913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H2705
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649272972 | Other | TX | MEDICARE NPI |
| 1255093-05 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1366294308
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.