Michael R Povlow, MD | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(210) 266-2158 | |
Not Available |
Full Name | Michael R Povlow |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598266884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2023026198 (Missouri) | Primary |
Entity Name | University Radiology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20040331001432 |
Entity Name | University Radiology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20040501000035 |
Entity Name | University Radiology At Trinitas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366526279 PECOS PAC ID: 9133174634 Enrollment ID: O20050317000492 |
Entity Name | Jersey Shore Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538304019 PECOS PAC ID: 1355408212 Enrollment ID: O20090319000362 |
Entity Name | University Radiology-atlantic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477802064 PECOS PAC ID: 6901059864 Enrollment ID: O20130102000114 |
Entity Name | University Radiology At Cooper Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669056248 PECOS PAC ID: 4587053699 Enrollment ID: O20211111000439 |
Mailing Address | Practice Location Address |
---|---|
Michael R Povlow, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (210) 266-2158 | Michael R Povlow, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (210) 266-2158 |
Dr. Jared Ray Seaman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 210-906-3157 | |
Dr. Mustafa Mohamed Alikhan, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0029 |