Active NPI
Joanne Poje Tomasulo, M.D.
- Addiction Medicine (Family Medicine) Physician
- Grove City, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 35.78117
- Practice address
- 5455 Lilac Ave
Grove City, OH 43123 - Phone
- (614) 302-8023
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35.78117 | OH | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 35078117 | OH | |
| General Practice Physician | 208D00000X | 35.078117 | OH | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 35.78117 | OH | Primary |
Addresses
Primary practice location
5455 Lilac Ave
Grove City, OH 43123
Mailing address
5455 Lilac Ave
Grove City, OH 43123-7925
Phone (614) 302-8023
Other practice location 1
4461 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 779-6612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2206937 | Medicaid | OH | |
| 35.078117 | Other | OH | MEDICAL LICENSE NUMBER |
Other names 1
- Joanne Poje
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.78117 | OH | MD | Addiction Medicine (Family Medicine) Physician |
| 35078117 | OH | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Lance Family Medicine | Past | Accepting new patients | |
| Dublin Urgent Care Inc | Past | Accepting new patients | |
| Andra G Lance | Past | Accepting new patients |
Locations
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Family Medicine Physician
- Jackson, OH
- NPI 1780847202
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1053308148
-
- Family Medicine Physician
- Jackson, OH
- NPI 1770629487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1285770883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 LILAC AVE",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431237925",
"telephone_number": "614-302-8023",
"fax_number": "614-302-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 LILAC AVE",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "43123",
"telephone_number": "614-302-8023"
}
],
"practiceLocations": [
{
"address_1": "4461 State Route 159",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456018620",
"country_code": "US",
"telephone_number": "740-779-6612",
"fax_number": "740-779-6617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMASULO",
"first_name": "JOANNE",
"middle_name": "POJE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.78117",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "OH",
"license": "35078117",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.078117",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OH",
"license": "35.78117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2206937",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "35.078117",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "POJE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.