Marios C Pouagare, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35064541 Issued in OH

Practice address

4340 Clyo Rd Ste 200
Dayton, OH 45459-7000

Phone

(937) 534-7330

Fax

(937) 395-3682

NPI assigned

Nov 8, 2005

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1538188735
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1487635439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 CLYO RD STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597000",
            "telephone_number": "937-534-7330",
            "fax_number": "937-395-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 CLYO RD STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597000",
            "telephone_number": "937-534-7330",
            "fax_number": "937-395-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUAGARE",
        "first_name": "MARIOS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35064541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0912865",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "digestivespecialists@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4340 Clyo Rd Ste 200",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Potts, MD
• Lisa Kay Potts, LDO
• Michelle Anne Potts, MD
• Olivia Potts, PT, DPT
• Rebecca E Potts, M.D.
• Lindsay Poulter
• Cassidy Nicole Powell
• Courtney Ann Marie Powell, ATC, AT
• Deloris Ann Powell
• Deonna Powell

• Gastroenterology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.