DEMETRI TONY POULIS


Address: 50 Hospital Dr Ste 1b, Hendersonville, NC 28792-5252
Phone: 8286506822

DEMETRI TONY POULIS (NPI# 1275515538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275515538
Entity Type Individual
Full Name DEMETRI TONY POULIS
Credential MD
Practice Address 50 Hospital Dr Ste 1b
Hendersonville
NC 28792-5252
Mailing Address Po Box 1869
Fletcher
NC 28732-1869
Practice Telephone 8286506822
Practice Fax Number 8286506827
Mailing Telephone 8286875616
Mailing Fax Number 8286508073
Enumeration Date 2005-11-14
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 200301402 NC Allopathic & Osteopathic Physicians
Y 208600000X Surgery 200301402 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BC/BS OF NC 13563 01
NC 8913563 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
80 Doctors Dr Ste 1, Hendersonville, NC 287927289 8286540073 8286815036
4917 S Croatan Hwy, Ste 1c, Nags Head, NC 279598811 2524499120 2524499119

Office Location

Street Address 50 HOSPITAL DR STE 1B
City HENDERSONVILLE
State NC
Zip Code 28792-5252

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932690187 Mark Levi Chiropractor 1032 Greenville Hwy Ste B, Hendersonville, NC 28792 2018-05-23
1427548080 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 635 Greenville Hwy, Hendersonville, NC 28792 2018-05-18
1649721911 Sara R Ross Social Worker 48 Reedy Ridge Road, Hendersonville, NC 28792 2016-10-20
1669856530 Andrew Harrell Dentist 200 Beverly Hanks Ctr Ste B, Hendersonville, NC 28792 2015-07-10
1114329539 Pardee Urgent Care Clinic/Center 212 Thompson Street, Hendersonville, NC 28792 2014-09-17
1164844874 Lynn Amanda Howard Physician Assistant 2579 Chimney Rock Road, Hendersonville, NC 28792 2014-01-15
1790035343 Healthstat- Henderson County Preventive Medicine 211 1st Ave E., Hendersonville, NC 28792 2012-09-11
1578811188 John Edward Kneedler Physical Therapist 600 Carolina Village Road, Hendersonville, NC 28792 2012-08-29
1962702845 Rainbow Tree In Home Supportive Care 332 Signal Hill Road, Henderson, NC 28792 2010-10-26
1750600698 Julie Ann Innes Pharmacist 3643 Howard Gap Road, Hendersonville, NC 28792 2010-05-17
Find all providers in zip 28792

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487778890 Gene Krishingner Surgery 113 Westview Dr, Hendersonville, NC 28791-8007 2007-03-19
1982761136 Loucinda Rochelle Dampier Surgery 196 Stadium Dr, Hendersonville, TN 37075-3529 2007-01-03
1649200288 Carolina Surgeons Pa Surgery Carolina Surgeons Pa, Hendersonville, NC 28791 2006-07-03
1154386035 William Gerald Davis Surgery 107 Imperial Blvd, Suite 3, Hendersonville, TN 37075-3479 2006-04-20
1053386383 Robert Allen Morrow Surgery 901 Thornton Pl, Hendersonville, NC 28791-3458 2006-02-21
1962486449 Pierce J Moore Jr. Surgery 1 Pjs Place, Hendersonville, NC 28792-9251 2005-11-30
1053310086 Allan D. Huffman Surgery 561 Fleming St, Hendersonville, NC 28739-4215 2005-07-20
1710984166 David Charles Price Surgery 805 6th Ave W Ste 100, Hendersonville, NC 28739 2005-06-30
1750792339 Henderson County Hospital Corp Surgery 835 Fleming St, Hendersonville, NC 28791-3527 2014-05-16
1699032243 Andrew Curtis Sticco Surgery 709 N Justice St Ste A, Hendersonville, NC 28791-3455 2012-04-20
Find all providers in HENDERSONVILLE

Competitor

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City HENDERSONVILLE
Zip Code 28792

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Dataset Information

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.

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