David Nelson Pfohl, MD, FACP, GAQ

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036115149 Issued in IL

Practice address

45 Pebble Hill Dr
Belleville, IL 62223-2249

Phone

(618) 604-6518

NPI assigned

Aug 24, 2006

Last updated

Sep 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David N. Pfohl, MD, LLC

  dba dba ELDERMED SERVICES

  • Geriatric Medicine (Internal Medicine) Physician
  • O'Fallon, IL
  • NPI 1730190018
  NPD (past)
• Kirksville Missouri Hospital Company LLC

  dba Family Health Center of Edina

  • Rural Health Clinic/Center
  • Edina, MO
  • NPI 1346215944
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1093822116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8421",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622228421",
            "telephone_number": "618-604-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PEBBLE HILL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622232249",
            "telephone_number": "618-604-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOHL",
        "first_name": "DAVID",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "MD, FACP, GAQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036115149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina E Peterman
• Mark S Peters, RD
• Melissa L Peterson, PT
• Eileen Peton-Thornton, SLP
• Christine Elizabeth Petteway, AU.D., CCC-A
• Kevin K Pham, DO
• Mary Edith Phelps, PTA
• Physicians Surgical Center, LLC
• Physicians' Surgical Center LLC
• Michelle Pickering, PT

• Geriatric Medicine (Internal Medicine) Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.