NICHOLE MARIE PORE (NPI# 1568745123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568745123 |
Entity Type | Individual |
Full Name | NICHOLE MARIE PORE |
Practice Address |
1340 Belmont Ave Suite 2300 Youngstown OH 44504-1125 |
Practice Telephone | 3307461488 |
Practice Fax Number | 3307465611 |
Mailing Telephone | 3307461488 |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN547445 | PA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SPO11612 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1340 BELMONT AVE SUITE 2300 |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44504-1125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073511531 | Donald Joseph Tamulonis Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 1340 Belmont Ave, Suite 2200, Youngstown, OH 44504-1125 | 2005-07-08 |
1932687522 | Taylor Marie Murphy | Physician Assistant | 1340 Belmont Ave, Youngstown, OH 44504-1125 | 2018-08-06 |
1265989016 | Andrea Lynn Svoboda | Nurse Practitioner | 1340 Belmont Ave, Suite 2200, Youngstown, OH 44504-1131 | 2016-09-08 |
1376971945 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 1340 Belmont Ave, Youngstown, OH 44504-1125 | 2013-10-17 |
1740515741 | Daniel L Reed | Registered Nurse | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1125 | 2009-10-08 |
1154569838 | Renee Sferra | Clinical Nurse Specialist | 1340 Belmont Ave, Suite 2200, Youngstown, OH 44504-1125 | 2009-02-03 |
1902069115 | Michael Carl Koprucki | Internal Medicine | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1125 | 2008-07-08 |
1881863264 | Patrick M Martinucci | Internal Medicine | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1125 | 2008-02-29 |
1710163399 | Lisa Ann Rowley | Registered Nurse | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1131 | 2008-01-14 |
1982741971 | The Kidney Group, Inc | Specialist | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1125 | 2007-01-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
Find all providers in zip 44504 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043836356 | Amber Thomas | Nurse Practitioner | 2230 Woodland Trce, Youngstown, OH 44515-4828 | 2020-06-23 |
1497303168 | Anthea Vyvia Mickens | Nurse Practitioner | 1878 Selma Ave, Youngstown, OH 44504-1302 | 2019-08-27 |
1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
1689150229 | Lindsey Thome | Nurse Practitioner | 550 Parmalee Ave Ste 400, Youngstown, OH 44510-1602 | 2018-07-17 |
1609375500 | Natalia Josephine Rich | Nurse Practitioner | 377 Boardman Poland Rd, Youngstown, OH 44512-4949 | 2018-02-06 |
1700300886 | Jillian Marie Zembower | Nurse Practitioner | 1044 Belmont Ave Fl 2, Youngstown, OH 44504-1006 | 2017-07-31 |
1578019600 | Mary Karen Safford | Nurse Practitioner | 150 Carter Cir, Youngstown, OH 44512-6630 | 2016-08-29 |
1407203714 | William Joseph Rogers | Nurse Practitioner | 1340 Belmont Ave Ste 2200, Youngstown, OH 44504-1131 | 2016-05-17 |
1801989546 | Margaret Louise Kerr | Nurse Practitioner | 1011 Boardman-canfield Rd, Youngstown, OH 44512-4226 | 2006-10-02 |
Find all providers in YOUNGSTOWN |
City | YOUNGSTOWN |
Zip Code | 44504 |
Please comment or provide details below to improve the information on NICHOLE MARIE PORE.
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.