Todd K Pogue Co PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4110 Issued in OK

Legal business name

TODD K POGUE CO PLLC

Practice address

2323 Windish Dr
Galesburg, IL 61401-9780

Phone

(309) 344-2323

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Todd Kent Pogue, D.O.

Title

Owner

Phone

(918) 261-6939

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1841345253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1346",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527220023",
            "telephone_number": "918-261-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 WINDISH DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614019780",
            "telephone_number": "309-344-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD K POGUE CO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "POGUE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-261-6939",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "4110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200098010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.