Thomas L Poulin (NPI# 1497732556, PAC ID# 1153327986) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1497732556 |
| PAC ID by PECOS | 1153327986 |
| Professional Enrollment ID | I20091222000305 |
| Full Name | Thomas L Poulin |
| Organization Legal Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Address |
515 N Lafayette Blvd Michiana Obstetrics and Gynecology South Bend IN 46601-1003 |
| Phone Number | 5742512100 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 4486627601 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| 150026 | GOSHEN HOSPITAL |
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 | 5742512100 | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_023_overall | Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) | 100% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 66% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 95% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 99% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly W Mcguire | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Patrick J Brand | Qualified Audiologist | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Sara Baumgartner | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Edward P Delle Donne | Colorectal Surgery (proctology) | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Zhiquan Zhao | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Shannon Luczak | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Cheryl Ann Stahl | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Daniel F Czarnecki | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Michael C Rotkis | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Maher D Abu-hamdan | Otolaryngology | Allied Physicians of Michiana, LLC | 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830 |
| Street Address |
515 N LAFAYETTE BLVD MICHIANA OBSTETRICS AND GYNECOLOGY |
| City | SOUTH BEND |
| State | IN |
| Zip | 46601-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly W Mcguire | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Patrick J Brand | Qualified Audiologist | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Sara Baumgartner | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Edward P Delle Donne | Colorectal Surgery (proctology) | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Zhiquan Zhao | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Shannon Luczak | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Cheryl Ann Stahl | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Daniel F Czarnecki | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Michael C Rotkis | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Luis Alfonso Benavente Chenhalls | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Marie Basham | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Thomas G Akre | Orthopedic Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Jon Blake Chadwell | Otolaryngology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Thalia R Pachiyannakis | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Timothy W Noveroske | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Douglas Neal Macgregor | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Erin Krizman | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Crystal S Beneker | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Janelle R Blickensderfer | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Lyndsay Gable | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Find all physicians in zip 46601 | |||
| City | SOUTH BEND |
| Zip Code | 46601 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SOUTH BEND + GENERAL SURGERY |
Please comment or provide details below to improve the information on Thomas L Poulin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.