Douglas P Poon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34779 Issued in KY

Practice address

45 Cavalier Blvd
Florence, KY 41042-1684

Phone

(859) 371-7400

Fax

(859) 371-8472

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bright Future Pediatrics, P.S.C.

  • Primary Care Clinic/Center
  • Florence, KY
  • NPI 1639280183
  NPD (past) Authorized official

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1306824792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 INGRAMS RIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452442990",
            "telephone_number": "859-371-7400",
            "fax_number": "859-371-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CAVALIER BLVD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421684",
            "telephone_number": "859-371-7400",
            "fax_number": "859-371-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POON",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "34779",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35072962",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "KY",
            "license": "34779",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "35072962P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64057508",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Podgorski
• Stacey M Podgorski, M.ED., CDMS
• Martin Neville Pohl, MD
• Stephen Thomas Pomeroy, HAD
• Ponija'S Comforting Hands LLC
• Positive Solutions Behavior Group, LLC
• Positively Speaking Professional Counseling Services, PLLC
• Post-Acute Physicians of Kentucky PLLC
• Rebecca Jeanne Powell, APRN, MSN, PMHNP-BC
• Elizabeth Prather, RPH

• Pediatrics Physician in Florence, KY
• Providers in Florence, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.