Carol A. Poole, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H9401 Issued in TX

Practice address

901 Rockwall Pkwy
Rockwall, TX 75032-6502

Phone

(972) 772-3234

Fax

(972) 772-3834

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 4, 2016 through Nov 4, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366524886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 RANGER DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750328435",
            "telephone_number": "972-771-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROCKWALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326502",
            "telephone_number": "972-772-3234",
            "fax_number": "972-772-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "CAROL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H9401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84Y742",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Adria Podina, PHYSICAL THERAPIST
• Kaia Polk
• George Kevin Pollock, DDS, MS
• Patricia Lynn Pomroy, LCSW
• Holland A Ponthieux, DPT
• Kristen Porter
• Potential Medical Service
• Potential Medical Services, LP
• Cheryl Ann Potter, M. D.
• Chris L Poulson, PSY D

• Obstetrics & Gynecology Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.