Individual provider Active NPI

Carrie Lynn Pohl, MD

  • Internal Medicine Physician
  • Leavenworth, KS
National Provider Identifier
1033371489
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9406985 Issued in KS
Practice address
4101 S. 4TH Street Trafficway, Mail Stop L-11G1
Dwight D. Eisenhower VA Medical Center
Leavenworth, KS 66048
Phone
(913) 682-2000
Fax
(913) 946-1561
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9406985 KS Primary

Addresses

Primary practice location

4101 S. 4TH Street Trafficway, Mail Stop L-11G1
Dwight D. Eisenhower VA Medical Center
Leavenworth, KS 66048

Mailing address

4101 S. 4TH Street Trafficway, Mail Stop L-11G1
Dwight D. Eisenhower VA Medical Center
Leavenworth, KS 66048
Phone (913) 682-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717001318 KS Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8123294022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9406985KSMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1033371489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S. 4TH STREET TRAFFICWAY, MAIL STOP L-11G1",
            "address_2": "DWIGHT D. EISENHOWER VA MEDICAL CENTER",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-682-2000",
            "fax_number": "913-946-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S. 4TH STREET TRAFFICWAY, MAIL STOP L-11G1",
            "address_2": "DWIGHT D. EISENHOWER VA MEDICAL CENTER",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-682-2000",
            "fax_number": "913-946-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHL",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9406985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.