BERNARD T. POOLE, MD, PA (NPI# 1205164282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205164282 |
| Entity Type | Organization |
| Organization Name | BERNARD T. POOLE, MD, PA |
| Practice Address |
818 N Emporia St Suite 107 Wichita KS 67214-3729 |
| Practice Telephone | 3162642806 |
| Practice Fax Number | 3162644716 |
| Mailing Telephone | 3162642806 |
| Mailing Fax Number | 3162644716 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | BERNARD T POOLE (OWNER) |
| Authorized Official Telephone | 3162642806 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100081750A | 05 |
| Street Address |
818 N EMPORIA ST SUITE 107 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116835 | Duane L Osborne | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2005-07-07 |
| 1053727800 | Tracy D Smith | Nurse Practitioner | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2014-07-01 |
| 1336401082 | Aaron Nilhas | Surgery | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2012-06-08 |
| 1679704845 | Julianna M Bergkamp | Nurse Practitioner | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2009-08-05 |
| 1609004316 | Amanda M Valliant | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2009-07-01 |
| 1730320367 | Kathy Ornelas | Specialist/Technologist, Other | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2009-03-11 |
| 1437316387 | Ronnie K Moussa | Internal Medicine | 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 | 2008-05-19 |
| 1104025949 | Wissam Saliba | Internal Medicine | 818 N Emporia St, Wichita, KS 67214-3729 | 2007-07-12 |
| 1528263043 | Jeremy Deutsch | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2007-06-15 |
| 1114120466 | Mayssa Zayat | Pediatrics | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598725418 | John P Estivo | Orthopaedic Surgery | 6634 W Central Ave, Wichita, KS 67212-3315 | 2006-03-24 |
| 1417920653 | Kansas Joint & Spine Institute | Orthopaedic Surgery | 10100 Shannon Woods, Wichita, KS 67226 | 2006-02-08 |
| 1851371470 | Brian Hakala | Orthopaedic Surgery | 7272 E 37th St N Apt 1121, Wichita, KS 67226-3222 | 2006-01-19 |
| 1265414890 | John R Schurman II | Orthopaedic Surgery | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2005-11-18 |
| 1063416048 | Robert Lamar Eyster | Orthopaedic Surgery | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2005-06-08 |
| 1912522780 | Zachary Donoviel | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1487278701 | Brendan Mitchell | Orthopaedic Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-02 |
| 1457975187 | Seth Tarrant | Orthopaedic Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-05-28 |
| 1144843327 | Michael Blankespoor | Orthopaedic Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-05-22 |
| 1902467418 | Guillermo Marquez | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2019-06-25 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on BERNARD T. POOLE, MD, PA.
| 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.