Debra Dianne Pogue, MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

10721 Issued in OH

Practice address

10475 Montgomery Rd
Suite 1J
Cincinnati, OH 45242-5201

Phone

(513) 791-5548

Fax

(513) 791-5549

NPI assigned

Dec 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Carl M Shapiro D O Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cincinnati, OH
  • NPI 1366418915
  NPD (past)

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1336442011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MONTGOMERY RD",
            "address_2": "SUITE 1J",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425201",
            "telephone_number": "513-791-5548",
            "fax_number": "513-791-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MONTGOMERY RD",
            "address_2": "SUITE 1J",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425201",
            "telephone_number": "513-791-5548",
            "fax_number": "513-791-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGUE",
        "first_name": "DEBRA",
        "middle_name": "DIANNE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "207892",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "10721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3109648",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201008380A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100153790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Steffen Poeppel, PHARMD
• Sydney G Poeppelmeier
• Myra Poff
• Stacia Poff, PHARMD
• Veronica S Poffel-Morton, MD
• Hayley Louise Pogue
• Jessica Pogue, PA
• Vivian Lee Pogue
• Kamal S. Pohar, MD
• Michael Allen Pohl, DDS

• Adult Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.