Organization Active NPI

Stanley J Pool MD PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1235267493
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F0286 Issued in TX
Legal business name
STANLEY J POOL MD PA
Practice address
8951 Ruthby St
Ste 5
Houston, TX 77061-3141
Phone
(713) 649-0041
Fax
(713) 645-1916
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dr. Stanley J Pool MD PA, MD
Title
President
Phone
(713) 649-0041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X F0286 TX
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X F0286 TX Primary

Addresses

Primary practice location

8951 Ruthby St
Ste 5
Houston, TX 77061-3141

Mailing address

8951 Ruthby St
Ste 5
Houston, TX 77061-3141
Phone (713) 649-0041

Other identifiers 4

IdentifierTypeStateIssuer
033282703MedicaidTX
299285102MedicaidTX
1467461525OtherTXTYPE 1
299285101MedicaidTX

National Provider Directory

National Provider Directory

Locations

8951 Ruthby St
Ste 5
Houston, TX 77061
Phone (346) 398-7208

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1235267493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 RUTHBY ST",
            "address_2": "STE 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770613141",
            "telephone_number": "713-649-0041",
            "fax_number": "713-645-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 RUTHBY ST",
            "address_2": "STE 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770613141",
            "telephone_number": "713-649-0041",
            "fax_number": "713-645-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J POOL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "POOL MD PA",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-649-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F0286",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033282703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299285102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1467461525",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299285101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.