GEORGE WILLIAM POULOS (NPI# 1215109103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215109103 |
| Entity Type | Individual |
| Full Name | GEORGE WILLIAM POULOS |
| Credential | M.D., PH.D. |
| Practice Address |
680 Centre St Signature Healthcare, Brockton Hospital, Radiology Brockton MA 02302-3308 |
| Mailing Address |
6 Navaho Dr Canton MA 02021-1261 |
| Practice Telephone | 5089417150 |
| Mailing Telephone | 7812544226 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
234627 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469091 | George Andrew Poulos | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2007-07-15 |
| 1356380430 | George D Poulos | Optometrist | 122 Southpark Ctr, Strongsville, OH 44136-9316 | 2006-06-05 |
| Street Address |
680 CENTRE ST SIGNATURE HEALTHCARE, BROCKTON HOSPITAL, RADIOLOGY |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176910 | Marcia Waitzman | Obstetrics & Gynecology | 680 Centre St, Brockton, MA 02302-3308 | 2005-07-01 |
| 1770196396 | Samantha Lipsky | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2020-08-24 |
| 1760009328 | Mandi Ella Clegg | Social Worker | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-30 |
| 1972128643 | Matthew Hall Wilson | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
| 1679198493 | Alyssa Dicosmo | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
| 1720603566 | Tessie Allan | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1588289375 | Collin Rozanski | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1619592417 | Balaji Arun Jothishankar | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1013532845 | Angell Shi | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1386269124 | Rebecca Yanovsky | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629282884 | Arnold Chung Wai Cheung | Radiology | 236 N. Pearl St., Brockton, MA 02301-0001 | 2007-05-09 |
| 1548266653 | Tiron C.m. Pechet | Radiology | 265 Westgate Dr, Brockton, MA 02301-1817 | 2005-06-23 |
| 1538422050 | My-linh Nguyen | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2012-06-19 |
| 1154683878 | John Webster Gilbert | Radiology | 680 Centre Street, Brockton Radiological Associates, Inc., Brockton, MA 02302-3308 | 2012-06-08 |
| 1154645711 | Scott Farzad Cameron | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2010-03-25 |
| 1295969772 | Raghu R Amaravadi | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2009-05-12 |
| 1780775403 | Inna E. Goldberg | Radiology | 235 N Pearl St, Brockton, MA 02301 | 2006-09-27 |
| 1497867923 | Brockton Radiological Associates, Inc. | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2006-08-31 |
| 1275645533 | Specialized Medical Imaging, Inc. | Radiology | 235 N Pearl St, Brockton, MA 02301-1794 | 2006-08-31 |
| 1316993587 | Warren M Salzman | Radiology | 680 Centre St, Radiology Department, Brockton, MA 02302-3308 | 2006-05-26 |
| Find all providers in BROCKTON | ||||
Please comment or provide details below to improve the information on GEORGE WILLIAM 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.