DR. DOUGLAS M POKORNY (NPI# 1972899276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972899276 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS M POKORNY |
| Credential | D.O. |
| Practice Address |
Naval Medical Center 100 Brewster Blvd. Camp Lejeune NC 28547 |
| Practice Telephone | 9104504765 |
| Mailing Telephone | 9104504765 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | R3943 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0102203196 | VA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
2019-01648 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 376534901 | 05 | |
| TX | CSHCN | 376534902 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 John Paul Jones Cir, Department of General Surgery, Portsmouth, VA 237082111 | 3522816488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710037924 | Douglas P. Pokorny | Nurse Anesthetist, Certified Registered | On025 Winfield Rd., Winfield, IL 60190 | 2007-01-11 |
| Street Address |
NAVAL MEDICAL CENTER 100 BREWSTER BLVD. |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089295 | Margaret Anne Ackley | Clinical Neuropsychologist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2005-08-09 |
| 1588122667 | Nathan Meier | Military Health Care Provider | Naval Medical Center, 100 Brewster Blvd., Camp Lejeune, NC 28547-2538 | 2019-03-07 |
| 1386125474 | Colby T Burns | Pharmacist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2018-08-27 |
| 1710483623 | Anthony John Angelone | Student in an Organized Health Care Education/Training Program | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2018-04-01 |
| 1619488822 | Patricia Ann Horn | Nurse Practitioner | Naval Medical Center, 100 Brewster Blvd., Camp Lejeune, NC 28547-2538 | 2017-10-14 |
| 1568982296 | Kristy Dyan Stroble | Physical Therapist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2017-06-23 |
| 1932629102 | Alexandra Elizabeth Hall | Physician Assistant | Naval Medical Center, 100 Brewster Boulevard, Camp Lejeune, NC 28547-2538 | 2017-06-20 |
| 1083147060 | Derek Edward Weiss | Physician Assistant | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2017-04-06 |
| 1508224445 | Andrew Carl Ellis | Physician Assistant | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2016-02-07 |
| 1053677641 | Garrett M. Harp | Internal Medicine | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2012-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922113299 | Ronald Hardin | Surgery | 4008 Burnett-womack Building Cb# 7228, Chapel Hill, NC 27599-7228 | 2006-08-20 |
| 1669464475 | Carl E Haisch | Surgery | 517 Moye Blvd Fl 1, Ecu Physicians Transplant Surgery, Greenville, NC 27834-2849 | 2005-08-17 |
| 1689149825 | Camille Mccutcheon Buchanan | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-10-03 |
| 1508348665 | Brian Thomas Shanahan | Surgery | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2018-09-05 |
| 1013325281 | Cumberland County Hospital System, Inc | Surgery | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2014-07-31 |
| 1336401900 | Talitha Brown | Surgery | Medical Center Blvd, Winston Salem, NC 27157-3018 | 2012-06-11 |
| 1821382839 | Scott Michael John | Surgery | 1 Hospital Dr Ste 4200, Asheville, NC 28801 | 2011-06-07 |
| 1881914927 | Mandy Rebecca Maness | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-06-10 |
| 1295058857 | Mission Medical Associates Inc | Surgery | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2010-03-10 |
| 1407032055 | Piedmont Surgical Clinic, Pa | Surgery | 431 Copperfield Blvd Ne, Concord, NC 28025-3035 | 2008-01-14 |
| Find all providers with the same taxonomy | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
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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.