Poopalasingham Poovendran, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

01036408 Issued in IN

Practice address

200 High Park Ave
Goshen, IN 46526-4810

Phone

(574) 533-2141

NPI assigned

Nov 15, 2005

Last updated

May 2, 2012By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Goshen Anesthesiology LLC

  • Specialist
  • Goshen, IN
  • NPI 1528014362
  NPD (past) Authorized official
• Marion Anesthesiology, PC

  • Anesthesiology Physician
  • Marion, IN
  • NPI 1013908904
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1679555759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465460308",
            "telephone_number": "574-273-6546",
            "fax_number": "574-273-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH PARK AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264810",
            "telephone_number": "574-533-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOVENDRAN",
        "first_name": "POOPALASINGHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01036408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "352149231",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100318170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Louis Piaskowy, D.O.
• Richard E Pipher, LCSW
• Gianna L Pociask, DPT
• Amy Rebecca Pointon, MSN, RN, CNS, FNP
• Natasha Candace Pontius
• Taylor Poppe
• Amanda Potter
• Derek S Poulson, CRNA
• Marcia Ann Prenguber, ND
• Lauren Prescott

• Pain Medicine (Anesthesiology) Physician in Goshen, IN
• Providers in Goshen, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.