Nichole M Pore (NPI# 1568745123, PAC ID# 0840463311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1568745123 |
| PAC ID by PECOS | 0840463311 |
| Professional Enrollment ID | I20111027000782 |
| Full Name | Nichole M Pore |
| Organization Legal Name | THE KIDNEY GROUP, INC. |
| Address |
143 Enclave Dr New Castle PA 16105-3207 |
| Phone Number | 3307461488 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941291231 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390211 | SHARON REGIONAL HEALTH SYSTEM |
| 390178 | UPMC HORIZON |
| Address | Phone | Organization |
|---|---|---|
| 3036 Innovation Way, Hermitage, PA 16148-7906 | 3307461488 | THE KIDNEY GROUP, INC. |
| 143 Enclave Dr, New Castle, PA 16105-3207 | 3307461488 | THE KIDNEY GROUP, INC. |
| Organization Legal Name | THE KIDNEY GROUP, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Padgitt | Internal Medicine | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Leonidas Vassilaros | Nephrology | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Sherif Soliman | Nephrology | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Nathaniel Doe | Nephrology | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Andrea Jill Shaer | Nephrology | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Lisa Rowley | Nurse Practitioner | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Daniel Reed | Nurse Practitioner | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Anup S Bains | Nephrology | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Patrick M Martinucci | Nephrology | The Kidney Group, Inc. | 143 Enclave Dr, New Castle, PA 16105-3207 |
| Michael C Koprucki | Nephrology | The Kidney Group, Inc. | 1340 Belmont Ave, Suite 2300, Youngstown, OH 44504-1129 |
| Street Address |
143 ENCLAVE DR |
| City | NEW CASTLE |
| State | PA |
| Zip | 16105-3207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita L Booth | Nurse Practitioner | Steward Medical Group Inc | 143 Enclave Dr, New Castle, PA 16105-3207 |
| Patrick M Martinucci | Nephrology | The Kidney Group, Inc. | 143 Enclave Dr, New Castle, PA 16105-3207 |
| Christopher Enoch | Nephrology | The Kidney Group, Inc. | 143 Enclave Dr, New Castle, PA 16105-3207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly H Wu | Physician Assistant | Upmc Emergency Medicine Inc | 1211 Willmington Ave, Jameson Health System, New Castle, PA 16105 |
| Stephanie E Stebelton | Nurse Practitioner | Upmc Community Medicine Inc | 3124 Wilmington Rd, Noble House Medical Clinic, New Castle, PA 16105-1100 |
| Elbert R Acosta Ii | Internal Medicine | Upmc Community Medicine Inc | 3124 Wilmington Rd, Noble House Medical Clinic, New Castle, PA 16105-1100 |
| Santiago Alberto Almanzar Disla | Psychiatry | Compassion Mental Health Services of Pennsylvania Pllc | 3124 Wilmington Rd, Suite 304, New Castle, PA 16105-1100 |
| Angelo Mitsos | Podiatry | 3124 Wilmington Rd, Suite 106, New Castle, PA 16105-1100 | |
| Lynn Ryan Williams | Dermatology | Bhs Dermatology Associates LLC | 3105 Wilmington Rd, New Castle, PA 16105-1131 |
| Wayne Zimmer | Otolaryngology | Daniel J. Callaghan Jr. Md PC | 3126 Wilmington Rd, New Castle, PA 16105-1132 |
| Richard L Micco | Podiatry | 3132 Wilmington Rd, Suite 2, New Castle, PA 16105-1132 | |
| Henry C Vanzanten | Emergency Medicine | Family First Swiftcare LLC | 3128 Wilmington Rd, New Castle, PA 16105-1132 |
| Daniel J Callaghan Jr. | Otolaryngology | Daniel J. Callaghan Jr. Md PC | 3126 Wilmington Rd, New Castle, PA 16105-1132 |
| Find all physicians in zip 16105 | |||
| City | NEW CASTLE |
| Zip Code | 16105 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW CASTLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nichole M Pore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.