Kimberly R. Poarch, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03154 Issued in TX

Practice address

10100 N Central Expy
Ste.100
Dallas, TX 75231-4159

Phone

(214) 373-7374

Fax

(214) 373-7003

NPI assigned

Apr 9, 2009

Last updated

Aug 2, 2011By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Community Housecall Systems Inc

  • Home Health Agency
  • Dallas, TX
  • NPI 1750488383
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1598908337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 N CENTRAL EXPY",
            "address_2": "STE.100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314159",
            "telephone_number": "214-373-7374",
            "fax_number": "214-373-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 N CENTRAL EXPY",
            "address_2": "STE.100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314159",
            "telephone_number": "214-373-7374",
            "fax_number": "214-373-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POARCH",
        "first_name": "KIMBERLY",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE TEXAS MEDICAL BOARD",
            "identifier": "PA03154",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Plumlee, RD
• Nehemiah D. Plummer, PHARM. D
• Michael Dee Plunk, D.D.S., M.S.D.
• Pluscare Home Health LTD. Co
• PNB
• Kojo Pobee, MD
• Christine Poblete
• Glyness Marie Poblete, FNP, ACNP
• Mark M. Podberezin, M.D.
• Keshav Poddar, MD

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.