Christina Clarissa Poh, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H0091624 Issued in MD

Practice address

319 E Antietam St
Hagerstown, MD 21740-5701

Phone

(301) 790-3620

Fax

(301) 797-2863

NPI assigned

Jun 11, 2018

Last updated

Nov 11, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Medical Practices of Antietam LLC

  • Clinic/Center
  • Hagerstown, MD
  • NPI 1710854963
  Medicare reassignment NPD
• Meritus Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Hagerstown, MD
  • NPI 1134383623
  Medicare reassignment NPD
• Medical Practices of Antietam, LLC

  • General Practice Physician
  • Hagerstown, MD
  • NPI 1558430843
  NPD
• Meritus Urgent Care LLC

  • Urgent Care Clinic/Center
  • Hagerstown, MD
  • NPI 1972379568
  NPD
• Adventist Healthcare, Inc.

  dba Adventist HealthCare Shady Grove Medical Center

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Meritus Medical Center Inc

  • General Acute Care Hospital
  • Hagerstown, MD
  • NPI 1942281266
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1376036673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405701",
            "telephone_number": "301-790-3620",
            "fax_number": "301-797-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405701",
            "telephone_number": "301-790-3620",
            "fax_number": "301-797-2863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Wyand Dr",
            "address_purpose": "LOCATION",
            "city": "Keedysville",
            "state": "MD",
            "postal_code": "217561201",
            "country_code": "US",
            "telephone_number": "301-432-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Eastern Blvd N",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405843",
            "country_code": "US",
            "telephone_number": "301-302-7837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POH",
        "first_name": "CHRISTINA",
        "middle_name": "CLARISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT018607",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0091624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Plume
• Melissa Leigh Plunkett
• Podiatry Associates of Hagerstown
• Podiatry Associates of Hagerstown
• Podiatry Associates PA
• Jenna Polk
• Jacqualine Polydoros, LCPC
• Ever Ivan Ponciano, M.D.
• Ashley Marie Pondo, CRNP
• Milad L Pooran, M.D.

• Pediatrics Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.