Poornima Kumar, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50002762 Issued in OH

Practice address

1416 West First Street
Springfield, OH 45504-1923

Phone

(937) 322-1700

Fax

(937) 322-8070

NPI assigned

Jan 25, 2008

Last updated

Jul 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: poornima.kumar.1@19833.direct.athenahealth.com

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.

• Ohio Institute of Cardiac Care, Inc

  dba OICC Primary Care Network

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1396938791
  NPD (past)

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1245417849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 WEST FIRST STREET",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041923",
            "telephone_number": "937-322-1700",
            "fax_number": "937-322-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 WEST FIRST STREET",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041923",
            "telephone_number": "937-322-1700",
            "fax_number": "937-322-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "POORNIMA",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002762",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "1075639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Carl Krogg, D.D.S.
• Jon Kronberg, M.D.
• Debra Dianne Kuhn, NP-C
• Kumar Mukerjee MD Inc
• Aryavarta M Kumar, M.D., PH.D.
• Vikashni Kumar
• Rajeswar Kunchakuri
• Alyson D Kunkle
• Grant E Kunkle
• Kabir Kunwar, MD

• Physician Assistant in Springfield, OH
• Providers in Springfield, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.