MICHAEL ROBERT POULOS (NPI# 1720512858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720512858 |
| Entity Type | Individual |
| Full Name | MICHAEL ROBERT POULOS |
| Credential | D.O |
| Practice Address |
3214 E Race Ave Searcy AR 72143-4810 |
| Mailing Address |
2846 Leslie Ct Laramie WY 82072-2992 |
| Practice Telephone | 5013802290 |
| Practice Fax Number | 5013802282 |
| Mailing Telephone | 3074608670 |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-12084 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AC201661D | ID | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302081 | Michael James Poulos | Physical Therapist | 1611 Broadway, Bellingham, WA 98225-3039 | 2005-11-08 |
| 1548332141 | Michael N Poulos | Dentist | 700 Broadway, Suite 1135, Denver, CO 80203-3421 | 2006-11-15 |
| Street Address |
3214 E RACE AVE |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871578500 | Jonathan C. Robertson | Emergency Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2005-12-15 |
| 1285255075 | Robert Johnson | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-05-03 |
| 1013538115 | Joseph S. Abraham | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-29 |
| 1992324024 | Pranitha Chekka | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-09 |
| 1073132189 | David Scott Zehnder | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-09 |
| 1235768581 | Nathan Hunter Armstrong | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1023647310 | Raymond Joshua Quilao | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1609405026 | Kinan J Abou-kassem | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1275162737 | Marcus Hudson | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-06 |
| 1902435530 | Anna Figueiredo | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1477092377 | Johnny R Paine Do | Family Medicine | 2105 Clara St, Searcy, AR 72143-3157 | 2017-02-13 |
| 1427366038 | Sidney Wayne Tate | Family Medicine | 9 Magnolia Cir, Searcy, AR 72143-5705 | 2010-09-16 |
| 1043307499 | Terry Brown | Family Medicine | 2900 Hawkins Drive, Searcy, AR 72143 | 2006-10-06 |
| 1922111780 | Timothy M Killough Md Pa | Family Medicine | 103 Woodlane Dr, Searcy, AR 72143 | 2006-08-16 |
| 1336172238 | Brenda Jane Frisbie | Family Medicine | 3130 E Race Ave Ste 100, Searcy, AR 72143-4991 | 2006-07-07 |
| 1649201286 | Sherwood Urgent Care | Family Medicine | 610 Shepherd Way, Searcy, AR 72143 | 2006-07-05 |
| 1285697839 | Joseph S Dugger | Family Medicine | 901 E Beebe Capps Expy, Searcy, AR 72143-6865 | 2006-04-06 |
| 1356301147 | John Richard Duke | Family Medicine | 705 Santa Fe Dr, Searcy, AR 72143-6964 | 2006-03-24 |
| 1912976671 | C E Ransom Jr. | Family Medicine | 3130 E Race Ave, Suite 100, Searcy, AR 72143-4979 | 2006-03-15 |
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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.