NPIMap

Organization Active NPI

Poole Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Westminster, MD
National Provider Identifier
1124443809
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
D0036409 Issued in MD
Legal business name
POOLE ENDOSCOPY CENTER, LLC
Practice address
826 Washington Rd
Suite 218
Westminster, MD 21157-5750
Phone
(410) 871-9004
Fax
(410) 871-9006
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Neel Kamal, M.D.
Title
Physician
Phone
(410) 871-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X D0036409 MD Primary

Addresses

Primary practice location

826 Washington Rd
Suite 218
Westminster, MD 21157-5750

Mailing address

826 Washington Rd
Suite 218
Westminster, MD 21157-5750
Phone (410) 871-9004

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Poole Endoscopy Center LLCCCN 21C0001191
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1124443809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "SUITE 218",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "410-871-9004",
            "fax_number": "410-871-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "SUITE 218",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "410-871-9004",
            "fax_number": "410-871-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "NEEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-871-9004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "D0036409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.