Marvin Louis Poole, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C-4964 Issued in AR

Practice address

6 Southridge Dr
Mount Ida, AR 71957-8802

Phone

(870) 867-2932

NPI assigned

May 10, 2012

Last updated

May 10, 2012By 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

Other names 1

• Dr. Marvin Louis Poole Professional name

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1235498254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SOUTHRIDGE DR.",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719578802",
            "telephone_number": "870-867-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SOUTHRIDGE DR",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719578802",
            "telephone_number": "870-867-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "MARVIN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C-4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "POOLE",
            "middle_name": "LOUIS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Montgomery County Assisted Living
• Montgomery County Nursing Home
• Ouachita Regional Counseling & Mental Health Center, Inc. (Ouachita Behavioral Health and Wellness)
• Barbara E Page, DVM
• Kathleen Nichole Peters, OTR
• Ronnie L Faulkner, DDS, PA
• State of Arkansas (Montgomery County Health Unit)
• Samantha Jo Stovall, APRN, NP-C
• Amy Stvartak, APRN
• Superintendent of Mt Ida Public Schools

• Obstetrics & Gynecology Physician in Mount Ida, AR
• Providers in Mount Ida, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.