Healthcare Provider Details

I. General information

NPI: 1194743963
Provider Name (Legal Business Name): MARTIN NEVILLE POHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MARTIN N POHL MD

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 11/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8726 US HIGHWAY 42
FLORENCE KY
41042-9625
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-647-2900
  • Fax: 859-647-0140
Mailing address:
  • Phone: 859-647-2900
  • Fax: 859-647-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01079990A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number21480
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: