DR. PAUL K POGUE (NPI# 1609923804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609923804 |
| Entity Type | Individual |
| Full Name | DR. PAUL K POGUE |
| Credential | DDS |
| Practice Address |
550 W Virginia St Evansville IN 47710-1614 |
| Practice Telephone | 8124255194 |
| Practice Fax Number | 8124269984 |
| Mailing Telephone | 8124255194 |
| Mailing Fax Number | 8124269984 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12007722 | IN | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 12007722 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100246120 | 05 |
| Street Address |
550 W VIRGINIA ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215084413 | David E Yates | Dentist | 550 W Virginia St, Evansville, IN 47710-1614 | 2007-01-03 |
| 1518387828 | Mitchell Ian Troyer | Dentist | 550 W Virginia St, Evansville, IN 47710-1684 | 2014-04-25 |
| 1871751644 | Randall Scott Edwards | Dentist | 550 W Virginia St, Evansville, IN 47710-1614 | 2008-05-29 |
| 1790813293 | William Reuel Farnsworth | Dentist | 550 W Virginia St, Evansville, IN 47710-1614 | 2007-02-28 |
| 1952455743 | Stephen Herbert Troyer | Dentist | 550 W Virginia St, Evansville, IN 47710-1614 | 2007-01-22 |
| 1467506188 | Oral Surgery Group of Evansville, Inc | Dentist | 550 W Virginia St, Evansville, IN 47710-1614 | 2007-01-22 |
| 1386791580 | David L Hayhurst | Dentist | 550 W Virginia St, Evansville, IN 47710-1614 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295041093 | Central Indiana Oral Surgery and Implantology | Oral & Maxillofacial Surgery | 272 Medical Dr., Carmel, IN 46032 | 2010-08-31 |
| 1386762318 | Bloomington Oral & Maxillofacial Surgery Group | Oral & Maxillofacial Surgery | 637 S Walker Street, Suite 1, Bloomington, IN 47403-2154 | 2007-03-27 |
| 1083757355 | Carrie A. Klene | Oral & Maxillofacial Surgery | 715 W Carmel Dr Ste 102, Carmel, IN 46032-5881 | 2007-02-15 |
| 1689743809 | Rodney P Swantko | Oral & Maxillofacial Surgery | 9250 Columbia Avenue, Suite D 1, Munster, IN 46321 | 2006-11-06 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1134213796 | Tristan Vaun Stonger | Oral & Maxillofacial Surgery | 1 S Broadway, Peru, IN 46970-2231 | 2006-10-03 |
| 1558789891 | William Gardner Moll | Oral & Maxillofacial Surgery | 601 W Us Highway 30, Schererville, IN 46375-2656 | 2014-04-03 |
| 1205998739 | John Craig Cook | Oral & Maxillofacial Surgery | 1919 State St, Ste 407, New Albany, IN 47150 | 2006-12-14 |
| 1831264324 | Oral & Maxillofacial Surgery Associates PC | Oral & Maxillofacial Surgery | 7845 Carnegie Blvd, Fort Wayne, IN 46804 | 2006-11-21 |
| 1366512972 | Michael Joseph Deady | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on DR. PAUL K POGUE.
| 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.