MICHAEL J POLE (NPI# 1154390292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154390292 |
| Entity Type | Individual |
| Full Name | MICHAEL J POLE |
| Credential | M.D. |
| Practice Address |
725 S Shoop Ave Wauseon OH 43567-1702 |
| Mailing Address |
Po Box 1178 Lima OH 45802-1178 |
| Practice Telephone | 4193352015 |
| Mailing Telephone | 8665829150 |
| Mailing Fax Number | 4192232726 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.068270 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2020128 | 05 | |
| MI | 4947873 | 05 | |
| OH | RAILROAD MEDICARE | P00358054 | 01 |
| OH | ANTHEM BCBS | 000000491789 | 01 |
| Street Address |
725 S SHOOP AVE |
| City | WAUSEON |
| State | OH |
| Zip Code | 43567-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396712683 | Charles David Sr. | Emergency Medicine | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2006-03-05 |
| 1023670395 | Erica Elling | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2019-07-08 |
| 1194223347 | Justin M Sauder | Nurse Anesthetist, Certified Registered | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2018-01-23 |
| 1922515766 | Brad A Glanz | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2018-01-02 |
| 1316464548 | Maren Williams | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-08-28 |
| 1629506167 | Morgan Nichole Wright | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-05-29 |
| 1780122697 | Tonya Gomez | Dietitian, Registered | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-02-10 |
| 1114464583 | Brooke J Kleeberger | Social Worker | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-01-24 |
| 1609324748 | Denise Nofziger | Nurse Practitioner | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2016-09-19 |
| 1477000248 | Tamara Martin | Nurse Practitioner | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302619 | Lisa Michelle Aschliman | Physical Therapy Assistant | 138 E Elm St. Fulton Co Health Center Rehab, Wauseon, OH 43567 | 2017-08-22 |
| 1245755164 | Kimberly Sue Fall | Home Health | 847 Wood Street, Wauseon, OH 43567 | 2017-08-11 |
| 1639580160 | Julie Ann Leatherman | Social Worker | 241 Philomena Dr, Wauseon, OH 43567 | 2014-05-19 |
| 1194054916 | Jessica Sue Demaline | Social Worker | 7320 State Hughway 108, Suite A, Wauseon, OH 43567 | 2009-12-08 |
| 1659503043 | Crissi L Stuckey | Physical Therapist | 303 West Leggett Street, Wauseon, OH 43567 | 2009-08-18 |
| 1912194614 | Family Services of Nw Ohio Suite 414 Toledo, Ohio 43604 | Community/Behavioral Health | 7320 State Hwy 108, Wauseon, OH 43567 | 2007-09-27 |
| 1750508768 | Renal Treatment Centers Illinois Inc | Clinic/Center | 721 S Shoop Ave, Wauseon, OH 43567 | 2007-04-19 |
| 1922155563 | Sema Justus Fofung | Specialist | 735 South Shoop Avenue, Suite 3, Wauseon, OH 43567 | 2007-01-05 |
| 1679679948 | Jessye Hartman | Physical Therapist | 138 E Elm St, Wauseon, OH 43567 | 2006-09-15 |
| 1336155837 | James A Williams | Chiropractor | 1485 N Shoop Ave, Wauseon, OH 43567 | 2006-08-01 |
| Find all providers in zip 43567 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255432050 | Apex Radiology Inc | Radiology | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2006-09-26 |
| 1528029360 | Estela Miquiabas | Radiology | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645813 | Lumina Imaging | Radiology | 8401 Mentor Ave Ste B, Mentor, OH 44060-5843 | 2020-10-07 |
| 1700490943 | Katrina Overbey | Radiology | 4604 Northridge Dr, Batavia, OH 45103-1329 | 2020-09-04 |
| 1235752981 | Infinity Teleradiology LLC | Radiology | 17365 Lookout Dr, Chagrin Falls, OH 44023-2135 | 2020-05-28 |
| 1811481120 | Northern Ohio Medical Specialists LLC | Radiology | 2800 Hayes Ave Bldg C130, Sandusky, OH 44870-7248 | 2018-06-20 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1356756159 | Jerald Eckman | Radiology | 8645 Mallard Cir, Plain City, OH 43064-6004 | 2014-07-01 |
| 1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
| 1104248467 | Mobile X Ray Express, LLC | Radiology | 1020 Township Road 145, Ironton, OH 45638-8593 | 2014-01-06 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.