GERALD M. POHOST, MD, INC. (NPI# 1396027892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396027892 |
Entity Type | Organization |
Organization Name | GERALD M. POHOST, MD, INC. |
Practice Address |
1505 Wilson Ter Suite 150 Glendale CA 91206-4071 |
Mailing Address |
2200 N Mayfair Rd Suite 200 Wauwatosa WI 53226-2252 |
Practice Telephone | 8184093501 |
Practice Fax Number | 8189567680 |
Mailing Telephone | 4142589511 |
Mailing Fax Number | 4146073946 |
Enumeration Date | 2011-09-12 |
Last Update Date | 2012-05-24 |
Authorized Official Name | DR. GERALD M. POHOST (OWNER) |
Authorized Official Telephone | 8184093501 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD | ZZZ68624Y | 01 |
CA | RR MEDICARE | DS3096 | 01 |
Street Address |
1505 WILSON TER SUITE 150 |
City | GLENDALE |
State | CA |
Zip Code | 91206-4071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750380622 | Donald J Williams Md A Professional Corporation | Specialist | 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4071 | 2005-07-21 |
1386001261 | Los Angeles Hematology Oncology Medical Group | Pharmacy | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4071 | 2016-01-22 |
1306214242 | Vladimir Aratan Camarce | Nurse Practitioner | 1505 Wilson Ter, Suite 250, Glendale, CA 91206-4071 | 2015-09-09 |
1912265166 | Sondra Kay Samples | Audiologist | 1505 Wilson Ter, Glendale, CA 91206-4071 | 2012-04-25 |
1245527555 | Isaac Nef | Acupuncturist | 1505 Wilson Ter, Ste 250, Glendale, CA 91206-4071 | 2011-07-07 |
1336440940 | Jacob E. Tauber, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4071 | 2010-11-12 |
1477867257 | Lynnette Tatosyan, Do Inc | Internal Medicine | 1505 Wilson Ter, 315, Glendale, CA 91206-4071 | 2010-08-04 |
1609196245 | Kirk Medical Incorporated | Obstetrics & Gynecology | 1505 Wilson Ter, Suite 220, Glendale, CA 91206-4071 | 2010-06-05 |
1780911271 | Ami N. Patel, M.d., Inc. | Internal Medicine | 1505 Wilson Ter, Suite # 155, Glendale, CA 91206-4071 | 2009-11-04 |
1629200134 | Total Renal Care Inc | Clinic/Center | 1505 Wilson Ter, Ste 190, Glendale, CA 91206-4015 | 2009-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1396113577 | Crystal Genereux | Specialist | 5301 W Desert Hills Dr, Glendale, AZ 85304-2701 | 2015-09-04 |
1144600057 | Alicia Delgado | Specialist | 68-29 64th Place, Glendale, NY 11385 | 2015-06-05 |
1881081438 | Ifetayo Khalila Blissett | Specialist | 7618 69th Pl, 5e, Glendale, NY 11385-7134 | 2015-04-22 |
1912392598 | Bridgit Berthen | Specialist | 7131 66th St, Glendale, NY 11385-7065 | 2015-04-01 |
1366835241 | Rumena Begum | Specialist | 7444 64th Pl, Glendale, NY 11385-6135 | 2015-03-16 |
1669870572 | Kamila E Jaskowiak | Specialist | 6049 75th Ave, 2nd Fl, Glendale, NY 11385-6168 | 2014-12-08 |
1770986325 | Gloria Pineda | Specialist | 7108 72nd Pl, Glendale, NY 11385-7337 | 2014-09-26 |
1457764268 | Shannon Victoria Martinez | Specialist | 7818 81st St, Glendale, NY 11385-7633 | 2014-06-09 |
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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.