Individual provider Active NPI

Mary Josepha Pohl, M.D.

  • Pediatrics Physician
  • Saint Paul, MN
National Provider Identifier
1134225535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27632 Issued in MN
Practice address
540 Cedar St
MN Dept Human Services 64984
Saint Paul, MN 55101-2208
Phone
(651) 431-3431
Fax
(651) 431-7420
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27632 MN Primary

Addresses

Primary practice location

540 Cedar St
MN Dept Human Services 64984
Saint Paul, MN 55101-2208

Mailing address

806 Linwood Ave
Apt#1
St. Paul, MN 55105-3399
Phone (651) 224-1564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134225535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 LINWOOD AVE",
            "address_2": "APT#1",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551053399",
            "telephone_number": "651-224-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CEDAR ST",
            "address_2": "MN DEPT HUMAN SERVICES 64984",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012208",
            "telephone_number": "651-431-3431",
            "fax_number": "651-431-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHL",
        "first_name": "MARY",
        "middle_name": "JOSEPHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "27632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.