DR. WAYNE F POOLE (NPI# 1336119080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336119080 |
| Entity Type | Individual |
| Full Name | DR. WAYNE F POOLE |
| Credential | MD |
| Practice Address |
2230 Sw 19th Avenue Rd Ocala FL 34471-1391 |
| Mailing Address |
715 Se 36th Ln Ocala FL 34471-8716 |
| Practice Telephone | 3522374133 |
| Mailing Telephone | 3528047786 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME75863 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | V2597 | 01 |
| FL | 262482600 | 05 |
| Street Address |
2230 SW 19TH AVENUE RD |
| City | OCALA |
| State | FL |
| Zip Code | 34471-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629321 | Adam Lee Alpers | Family Medicine | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2005-06-15 |
| 1205434024 | Shekeita Perry | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2020-10-14 |
| 1427617067 | Holly Marie Grisales | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2019-06-07 |
| 1679131031 | Janea A Thaler | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2019-05-31 |
| 1154809101 | Samantha Weston | Physician Assistant | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2018-08-01 |
| 1467958967 | Andrew Cushenbery | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2018-04-03 |
| 1558871186 | Melissa S Formella | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2017-10-10 |
| 1548712854 | Melanie Grizzard | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2016-11-03 |
| 1720530702 | Corey West | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2016-10-26 |
| 1629420096 | Tyler H Lindsey | Physician Assistant | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| 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 |
|---|---|---|---|---|
| 1023373404 | Clinical Pet of Ocala, LLC | Radiology | 419 Sw 15th St, Suite 200, Ocala, FL 34471 | 2012-07-11 |
| 1427176908 | Jaime L Abesada | Radiology | 1490 Se Magnolia Ave, Ocala, FL 37741-0000 | 2007-03-26 |
| 1275572919 | Abner M Landry IIi | Radiology | 1714 Sw 17th St Ste 300, Ocala, FL 34471-1227 | 2006-06-06 |
| 1144291386 | Luis A Jimenez | Radiology | 6035 Sw 54th St, Suite 101, Ocala, FL 34474-5519 | 2006-01-27 |
| 1669460473 | Timberridge Imaging Center | Radiology | 9521 Sw Highway 200, Ocala, FL 34481-7719 | 2005-10-06 |
| 1760475230 | Clinical Pet of Ocala LLC | Radiology | 3143 Sw 32nd Ave, Suite 100, Ocala, FL 34474-4446 | 2005-08-30 |
| 1700392388 | Diagnostic Outpatient Centers of Ocala Inc | Radiology | 1030 Se 17th St, Ocala, FL 34471-3912 | 2017-12-19 |
| 1952763971 | Radiology Imaging Specialists LLC | Radiology | 1714 Sw 17th St Ste 300, Ocala, FL 34471-1223 | 2016-03-29 |
| 1033478037 | Janet Rachel Terlouw | Radiology | 1490 Se Magnolia Ext, Ocala, FL 34471-4443 | 2012-05-10 |
| 1023318060 | Ocala Health Imaging Services LLC | Radiology | 2300 Se 17th St, Bldg 800, Ocala, FL 34471-9107 | 2010-10-25 |
| Find all providers in OCALA | ||||
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| 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.