NPIMap

Individual provider Active NPI

Paul F Poulin, MD

  • Hematology & Oncology Physician
  • Haverhill, MA
National Provider Identifier
1598759367
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
9050 Issued in NH
Practice address
62 Brown St
Suite #401
Haverhill, MA 01830-6778
Phone
(978) 521-8590
Fax
(978) 521-8732
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 9050 NH Primary

Addresses

Primary practice location

62 Brown St
Suite #401
Haverhill, MA 01830-6778

Mailing address

3 Electronics Ave
Ste 201
Danvers, MA 01923-1099
Phone (978) 750-0300

Other identifiers 1

IdentifierTypeStateIssuer
110064751AMedicaidMA

Other names 1

  • Dr. Paul F Poulin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Care Network, Inc. Past Accepting new patients
Appledore Medical Group, Inc Past Accepting new patients
Commonwealth Hematologyoncology PC Past Accepting new patients
PRH Oncology, LLC Hematology & Oncology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1598759367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ELECTRONICS AVE",
            "address_2": "STE 201",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231099",
            "telephone_number": "978-750-0300",
            "fax_number": "978-279-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BROWN ST",
            "address_2": "SUITE #401",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306778",
            "telephone_number": "978-521-8590",
            "fax_number": "978-521-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "9050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110064751A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "POULIN",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.