NICHOLAS E POULOS (NPI# 1144258310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144258310 |
Entity Type | Individual |
Full Name | NICHOLAS E POULOS |
Credential | MD |
Practice Address |
340 W Lincoln St Suite 540 Belleville IL 62220-1900 |
Practice Telephone | 6182221341 |
Practice Fax Number | 6182221487 |
Mailing Telephone | 6182221341 |
Mailing Fax Number | 6182221487 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2011-03-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | 036115133 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036115133 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427672542 | Nicholas George Poulos | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Orthopedics Residency, 980153, 1250 E. Marshall Street, Ricmond, VA 23298-0153 | 2020-06-04 |
1669026852 | Nicholas James Poulos | Dentist | 5470 W Madison St, Chicago, IL 60644-4026 | 2019-07-26 |
1447702097 | Nicholas Poulos | Specialist | 11120 New Hampshire Ave, Suite 200, Silver Spring, MD 20904-2633 | 2016-10-31 |
1750505814 | Nicholas Michael Poulos | Dentist | 1459 Laney Walker Blvd, Ad 2809, Augusta, GA 30912-0002 | 2007-04-12 |
1669446894 | Nicholas D. Poulos | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-02-14 |
Street Address |
340 W LINCOLN ST SUITE 540 |
City | BELLEVILLE |
State | IL |
Zip Code | 62220-1900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477558922 | John A. Hucker | Obstetrics & Gynecology | 340 W Lincoln St, Ste 560, Belleville, IL 62220-1900 | 2005-06-20 |
1609313758 | Marianne Guthrie | Nurse Practitioner | 340 W Lincoln St, 200, Belleville, IL 62220-1900 | 2017-01-27 |
1841683133 | Kathryn Liermann | Physician Assistant | 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | 2015-03-10 |
1447686886 | Amelia Gerke | Physician Assistant | 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | 2013-09-17 |
1811286305 | Sherry Tindall | Nurse Practitioner | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 | 2011-04-05 |
1427204965 | Elizabeth Renaker-jansen | Plastic Surgery | 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 | 2008-08-15 |
1528214624 | Vidya Shankaran | Plastic Surgery | 340 W Lincoln St, Ste 500, Belleville, IL 62220-1900 | 2008-08-08 |
1811188949 | Kristina Naseer | Anesthesiology | 340 W Lincoln St, Suite 200, Belleville, IL 62220-1900 | 2007-08-05 |
1154538064 | Desiree Y Miller | Physician Assistant | 340 W Lincoln St, Suite#300, Belleville, IL 62220-1900 | 2007-05-17 |
1700962271 | Lincoln Surgical Group | Surgery | 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 | 2006-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
Find all providers in zip 62220 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
1821307554 | Msa Alliance, LLC | Neurological Surgery | 4700 Memorial Drive, Ste. 230, Belleville, IL 62226 | 2010-09-29 |
1518271980 | Msa Alliance, LLC | Neurological Surgery | 4700 Memorial Drive, Ste. 250, Belleville, IL 62226 | 2010-07-28 |
1295822450 | Christopher Heffner,m.d. of Illinois, P.C. | Neurological Surgery | 4600 Memorial Dr, Suite 330, Belleville, IL 62226-5366 | 2006-10-09 |
1134238801 | Robert E Schultz | Neurological Surgery | 4700 Memorial Dr, Suite 230, Belleville, IL 62226-5373 | 2006-08-29 |
1740286335 | Christopher Dabney Heffner | Neurological Surgery | 4700 Memorial Dr, Ste 200, Belleville, IL 62226-5373 | 2005-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
1891281499 | Kamran Khan, Sc | Neurological Surgery | 1890 Silver Cross Blvd Ste 450, New Lenox, IL 60451-9518 | 2018-07-06 |
1881124030 | Denise Brunozzi | Neurological Surgery | 912 South Wood Street, 451 N - Hc 739, Chicago, IL 60612 | 2017-06-19 |
1407218365 | St Anthonys Physician Organization of Illinois | Neurological Surgery | 211 S Burns Ave, Sparta, IL 62286-1895 | 2016-03-22 |
1225455181 | Jehad Algharabli | Neurological Surgery | 2218 S Leavitt St, Chicago, IL 60608-4008 | 2014-03-27 |
1992041461 | Gursant Atwal | Neurological Surgery | University of Il Hospital & Health Science System, 1740 W Taylor St, Chicago, IL 60612 | 2013-01-02 |
1629321112 | James Bruce Mansfield | Neurological Surgery | 5 Loch Ln, South Barrington, IL 60010-9532 | 2012-10-21 |
1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
1356637722 | Melissa M Stamates | Neurological Surgery | 2650 Ridge Ave Fl 3, Evanston, IL 60201 | 2011-06-23 |
Find all providers with the same taxonomy |
City | BELLEVILLE |
Zip Code | 62220 |
Please comment or provide details below to improve the information on NICHOLAS E POULOS.
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.