Pete N Poolos Jr MD Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

35026368 Issued in OH

Legal business name

PETE N POOLOS JR MD INC

Practice address

18099 Lorain Ave
Suite 204
Cleveland, OH 44111-5610

Phone

(216) 252-0033

Fax

(216) 252-0061

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pete N Poolos Jr., MD

Title

President

Phone

(216) 252-0033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1447560479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-252-0033",
            "fax_number": "216-252-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-252-0033",
            "fax_number": "216-252-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE N POOLOS JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "POOLOS",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-252-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35026368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Elizabeth Pestak, D.O.
• Regina Pestak, DO
• Elia Margarita Pestana Knight, M.D.
• Pesto Health Inc
• Max Pesto
• Elyse Petek, MS, GC
• Peter Arian LLC
• Allison Peterjohn
• Dominic Peterre, P.A.-C
• Alyssa Jean Peters, MSW, LISW-S

• Neurological Surgery Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.