Wayne L. Poll, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35056059 Issued in OH

Practice address

915 Olentangy River Rd
Columbus, OH 43212-3153

Phone

(614) 293-8155

Fax

(614) 293-3565

NPI assigned

Jul 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Central Ohio Urology Group, LLC

  • Urology Physician
  • Gahanna, OH
  • NPI 1396780466
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1124051164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 570",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021579",
            "telephone_number": "614-293-8155",
            "fax_number": "614-293-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123153",
            "telephone_number": "614-293-8155",
            "fax_number": "614-293-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLL",
        "first_name": "WAYNE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35056059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0683130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Rae Poling, RN, BSN
• Kyle Poling, CDCA QMHS BA CMS BA
• Tatyana Poling, DO
• Amanda Helene-Graves Polizzi
• Candace Renee Polk, FNP-BC
• Owen E Pollack, M.SW, LSW
• Jeffrey T.D. Pollard, R.PH.
• Logan Pollard
• Ronald M Pollard Jr.
• Sarah Elizabeth Pollard, APRN-CNP

• Urology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.