John E Poulos (NPI# 1578596896, PAC ID# 1759578222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1578596896 |
| PAC ID by PECOS | 1759578222 |
| Professional Enrollment ID | I20101209000580 |
| Full Name | John E Poulos |
| Organization Legal Name | FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES PA |
| Address |
2041 Valleygate Dr Fayetteville NC 28304-3746 |
| Phone Number | 9103212187 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9537186945 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2041 Valleygate Dr, Fayetteville, NC 28304-3746 | 9103212187 | FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 68% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 8% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 15% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 98% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 73% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Jones | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Arvind Kumar | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| William F Vorder Bruegge | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Anthony M Daniels | Internal Medicine | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Vallisitaram P Kodali | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Street Address |
2041 VALLEYGATE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-3746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Walton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Care Services Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 |
| Alvin E Hardy Jr. | Certified Registered Nurse Anesthetist (crna) | Anesthesia Care Services Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 |
| Paul C Desessa | Certified Registered Nurse Anesthetist (crna) | Anesthesia Care Services Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 |
| John R Jones | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Gregory Nelson Edwards | Certified Registered Nurse Anesthetist (crna) | Anesthesia Care Services Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 |
| Arvind Kumar | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| William F Vorder Bruegge | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Anthony M Daniels | Internal Medicine | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Vallisitaram P Kodali | Gastroenterology | Fayetteville Gastroenterology Associates Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3746 |
| Joseph Gerard Stowell | Certified Registered Nurse Anesthetist | Anesthesia Care Services Pa | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | FAYETTEVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on John E Poulos.
| 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.