DR. JOHANNE M POULIN MD NPI 1033193040

NPI Information

NPI: 1033193040
Provider Name: DR. JOHANNE M POULIN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
60 AMIGO RD
WALNUT CREEK, CA
ZIP 94596
Phone: (781) 331-1999
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DR. Johanne M Poulin, MD is an obstetrics gynecology in Walnut Creek, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Johanne M Poulin, MD NPI is 1033193040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

60 AMIGO RD
WALNUT CREEK, CA
ZIP 94596
Phone: (781) 331-1999
Fax: (781) 331-1999

The enumeration date for this NPI number is 12/2/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		75025	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	75025	OTHER		TUFTS
2	J12089	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	131467	OTHER	MASSACHUSETTS	HPHC
4	J12089	OTHER	MASSACHUSETTS	BCBS
5	3097013	MEDICAID	MASSACHUSETTS
6	F21123	MEDICARE UPIN
7	2649168	OTHER		AETNA
8	139147	OTHER		CIGNA
9	131487	OTHER		PILGRIM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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