DR. TREVOR WARD POOLE (NPI# 1891743159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891743159 |
| Entity Type | Individual |
| Full Name | DR. TREVOR WARD POOLE |
| Credential | M.D. |
| Practice Address |
1250 Ralston Ave Ste 204 Defiance OH 43512-5309 |
| Mailing Address |
1 Seagate Ste 800 Toledo OH 43604-1558 |
| Practice Telephone | 4197836997 |
| Practice Fax Number | 4197826103 |
| Mailing Telephone | 4197836997 |
| Mailing Fax Number | 4197826103 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35.132964 | OH | Other Service Providers |
| N | 174400000X | Specialist | 23024 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1384 | 05 | |
| OH | 0304082 | 05 | |
| OH | MEDICARE | H650150 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Sea Mountain Hwy, Suite A, Little River, SC 295668161 | 8433999774 | 8433998657 |
| Street Address |
1250 RALSTON AVE STE 204 |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255723805 | Janel Weaver | Nurse Practitioner | 1250 Ralston Ave Ste 204, Defiance, OH 43512-5309 | 2015-02-19 |
| 1184729386 | Truman Frederick Weigand Jr. | Surgery | 1250 Ralston Ave Ste 204, Defiance, OH 43512-5309 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679009526 | K2pt LLC | Specialist | 2610 Harper Rd, Defiance, OH 43512-9133 | 2017-05-11 |
| 1114352051 | Annette Jo Miller | Specialist | 309 Clinton St, Defiance, OH 43512-2113 | 2013-09-11 |
| 1568848091 | Karan Gottwald | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1215313747 | Taylor Fisher | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1205212735 | Whitney Snyder | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1093199184 | Amber Morris | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-07-17 |
| 1578906509 | Sonja Michaelis | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2013-04-09 |
| 1073956082 | Tanya Chappuies | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2013-04-09 |
| 1114281300 | Alissa Marie Knapp | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2012-07-02 |
| 1902165657 | Carrie Radzik | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2012-05-15 |
| Find all providers in DEFIANCE | ||||
Please comment or provide details below to improve the information on DR. TREVOR WARD POOLE.
| 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.