Ashley Poole, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C007791 Issued in MD

Practice address

106 Milford St Ste 103
Salisbury, MD 21804-6966

Phone

(410) 749-1171

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Roberts Other name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ashley.poole.1@25448.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CDAHBA/Endpoint/CDAHBA
• FHIR API: https://fhir4.healow.com/fhir/r4/JFAHDD/Endpoint/JFAHDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS. Huddleston & Dinardo PA

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1659337921
  Medicare reassignment
• Children's Medical Group of Salisbury, PA

  • Pediatrics Physician
  • Salisbury, MD
  • NPI 1568429538
  NPD (past)
• Lowell F Scott Jr MD PA

  • Pediatrics Physician
  • Milton, DE
  • NPI 1194870832
  NPD (past)

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1053848788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 MAR LYNN DR",
            "city": "DELMAR",
            "state": "MD",
            "postal_code": "218752465",
            "telephone_number": "443-359-2099",
            "fax_number": "410-742-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046966",
            "telephone_number": "410-749-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C007791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ROBERTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eileen Claire McCarron Poe, RDH
• Tanya X Poisker, CRNP
• Robert Poli, D.M.D.
• Connie G Polovina, LCSW- C
• Rachel Marie Pomycala, AUD
• Savannah Brooke Poorman, LMSW
• Eman Popal
• Omolara Popoola, RN
• Jill Renee Porter, CRNP
• Positive Synergy

• Medical Physician Assistant in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.