Active NPI
Michelle Pounds, PA
- Physician Assistant
- Columbus, OH
National Provider Identifier
1780040527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.002697
- Practice address
- 3990 E Broad St BLDG 11
Columbus, OH 43213-1152 - Phone
- (614) 336-6000
- NPI assigned
- Jan 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.002697 | OH | Primary |
Addresses
Primary practice location
3990 E Broad St BLDG 11
Columbus, OH 43213-1152
Mailing address
3990 E Broad St BLDG 11
Columbus, OH 43213-1152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002697 | OH | MD | Physician Assistant |
Organizations & group practices 1
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": "1452297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452297600000",
"number": "1780040527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 E BROAD ST BLDG 11",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 E BROAD ST BLDG 11",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131152",
"telephone_number": "614-336-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUNDS",
"first_name": "MICHELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-09",
"last_updated": "2016-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; 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.