Elana Y Poulter, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

245266 Issued in MA

Practice address

477 Andover St
North Andover, MA 01845-5036

Phone

(978) 975-3355

NPI assigned

Mar 17, 2008

Last updated

Nov 8, 2010By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: epoulter7795@direct.chppoc.masshiway.net

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.

• Children's Medical Office of North Andover, PC

  dba Children's Medical Office

  • Pediatrics Physician
  • North Andover, MA
  • NPI 1144262874
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1508037763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ANDOVER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455036",
            "telephone_number": "978-975-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ANDOVER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455036",
            "telephone_number": "978-975-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTER",
        "first_name": "ELANA",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036119638",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "245266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria M Polianites, COTA
• Aaron Jeffery Pollock, D.C.
• Leah Poloskey, ATC
• Stephanie Ponte, CNP
• Heather Popp, DPT, NCS
• Annalisa Prahl, DVM
• Gokul V.R. Prakash, MD
• Preferred Home Health Care & Nursing Services, Inc (Acelleron Medical Products)
• Prescott House Opco LLC (Prescott House)
• Prescott Nursing and Rehab BHC Operations

• Pediatrics Physician in North Andover, MA
• Providers in North Andover, MA by specialty
• Pediatrics Physician in Massachusetts

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