Active NPI
David Dewile Poor, M.D.
- Family Medicine Physician
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01088904A
- Practice address
- 2133 S State Road 46
Terre Haute, IN 47803-9781 - Phone
- (812) 232-0564
- NPI assigned
- May 26, 2006
- Last updated
- Feb 24, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5684661-1205 | UT | |
| Family Medicine Physician | 207Q00000X | 01088904A | IN | Primary |
Addresses
Primary practice location
2133 S State Road 46
Terre Haute, IN 47803-9781
Mailing address
5126 W Daybreak Pkwy
South Jordan, UT 84095-5994
Phone (801) 213-4500
Other practice location 1
5126 W Daybreak Pkwy
South Jordan, UT 84095-5994
Phone (801) 213-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982871828 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
409 Roosevelt TRL
Windham, ME 04062-4821
Phone (207) 400-8600
601 W National Ave
West Terre Haute, IN 47885-1303
Phone (812) 244-1515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Professionals Community Health Center, Inc. | Current | Accepting new patients | |
| Union Associated Physicians Clinic LLC | Family Medicine | Current | Accepting new patients |
| Union Hospital Inc. | Current | Accepting new patients | |
| Union Associated Physicians Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Valley Professionals Community Health Center Inc | Current | Accepting new patients | |
| Valley Professionals Community Health Center Inc | Current | Accepting new patients | |
| Mountainstar Medical Group-St. Marks Hospital, LLC | Family Medicine | Past | Accepting new patients |
| David D. Poor | Family Medicine | Past | Accepting new patients |
| David D. Poor M.D. PC | Past | Accepting new patients | |
| St. Mark's South Jordan Family Practice LLC | Family Medicine | Past | Accepting new patients |
Locations
703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042
777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003
1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400
727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123
1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631
2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105
4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289
601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515
Interoperability endpoints
- dpoor@unionhealth.cernerdirect.com
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Clinton, IN
- NPI 1104006253
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1891028379
-
- Dermatology Physician
- Terre Haute, IN
- NPI 1407404940
Family Medicine
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Federally Qualified Health Center (FQHC)
- West Terre Haute, IN
- NPI 1902567977
-
dba VPCHC-Clinton Dental
- Federally Qualified Health Center (FQHC)
- Clinton, IN
- NPI 1972312973
-
- Family Medicine Physician
- Herriman, UT
- NPI 1093990012
-
- Clinic/Center
- Herriman, UT
- NPI 1235169921
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1073795258
-
dba South Jordan Family Medicine
- Family Medicine Physician
- South Jordan, UT
- NPI 1982871828
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1275589699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 W DAYBREAK PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955994",
"telephone_number": "801-213-4500",
"fax_number": "801-213-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 S STATE ROAD 46",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478039781",
"telephone_number": "812-232-0564"
}
],
"practiceLocations": [
{
"address_1": "5126 W Daybreak Pkwy",
"address_purpose": "LOCATION",
"city": "South Jordan",
"state": "UT",
"postal_code": "840955994",
"country_code": "US",
"telephone_number": "801-213-4500",
"fax_number": "801-213-5368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOR",
"first_name": "DAVID",
"middle_name": "DEWILE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "5684661-1205",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01088904A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982871828",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.