Robert Earl Pooley, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101018486 Issued in VA

Practice address

5129 Red Stag Rd
Roanoke, VA 24018-8638

Phone

(540) 774-7835

NPI assigned

Mar 20, 2009

Last updated

Mar 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1154562130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 RED STAG RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188638",
            "telephone_number": "540-774-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 RED STAG RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188638",
            "telephone_number": "540-774-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLEY",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101018486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Raymond Poling, O.D.
• Colleen Schlenke Pollard, LCSW
• Devaughn Jerron Pollard, NP
• Alina Polonsky, MD
• Brenna Heaney Ponton, PA-C
• Vishal Popli, DDS
• Sara T Popovich, P.A.
• Ashley Porch, RN, IBCLC
• Angela Wood Porter, LCSW
• Daniel B. Porter, PH.D.

• Anatomic Pathology & Clinical Pathology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.