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NPI Code Detail

MEDICARE: DR. JOHN F. POHL M.D.

MEDICARE: DR. JOHN F. POHL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianL1968TX
22080P0206XPediatric Gastroenterology Physician7061856-1205UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3370018897OTHERTXRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18B0917OTHERTXBLUE SHIELD
21635229-02OTHERTXCSHCN
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942261755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN F. POHL M.D.
Provider Business Mailing Address
First Line : PO BOX 847408
Second Line :
City : DALLAS
State : TX
Zip : 75284-7408
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 100 NORTH MARIO CAPECCHI DRIVE
Second Line : SUITE 2650
City : SALT LAKE CITY
State : UT
Zip : 84113-1103
Country : US
Telephone Number : 801-662-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 04/25/2022

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Directions to “ DR. JOHN F. POHL M.D.” Practice Location

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