Active NPI
Herbert O Poole, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 775
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Jul 25, 2006
- Last updated
- Jan 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 775 | SC | Primary |
| Registered Nurse | 163W00000X | 43862 | SC |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2000
Other practice location 2
1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 296-5137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0691 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hpoole4228@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43862 | SC | MD | Registered Nurse |
| 775 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington County Health Services District, Inc. | Past | Accepting new patients | |
| Covenant Anesthesia Group, PC | Past | Accepting new patients | |
| Georgia Anesthesiologists, PC | Past | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Anesthesiology Consultants
- Anesthesiology Physician
- Columbia, SC
- NPI 1821589938
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1851486781
-
dba Cardiac Rehab Irmo
- Cardiac Rehabilitation Clinic/Center
- Columbia, SC
- NPI 1487023594
-
dba MMC Anesthesia Group, PC
- Anesthesiology Physician
- Oak Ridge, TN
- NPI 1639148117
-
- Anesthesiology Physician
- Woodstock, GA
- NPI 1740299197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1275556847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "2720 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694810",
"country_code": "US",
"telephone_number": "803-791-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1330 Taylor St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292012915",
"country_code": "US",
"telephone_number": "803-296-5137",
"fax_number": "803-296-5499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOLE",
"first_name": "HERBERT",
"middle_name": "O",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "775",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "43862",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0691",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hpoole4228@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.