Active NPI
Michael Pomerleau, M.S., A.T.,C.
- Specialist
- Somerset, MA
National Provider Identifier
1154358174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 39
- Practice address
- 1 County St
Somerset, MA 02726-4206 - Phone
- (508) 324-3115
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 39 | MA | Primary |
Addresses
Primary practice location
1 County St
Somerset, MA 02726-4206
Mailing address
12 Carling Cir
Seekonk, MA 02771-2005
Phone (508) 336-5713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 780479 | Other | MA | CERTIFIED ATHLETIC TRAINE |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39 | MA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154358174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CARLING CIR",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027712005",
"telephone_number": "508-336-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COUNTY ST",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027264206",
"telephone_number": "508-324-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERLEAU",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "M.S., A.T.,C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "39",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ATHLETIC TRAINE",
"identifier": "780479",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, MA
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.