Active NPI
Stephen Pool, M.D.
- Dermatopathology (Pathology) Physician
- Redmond, OR
National Provider Identifier
1407997596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- MD23159
- Practice address
- 813 SW Highland Ave Ste 202
Redmond, OR 97756-3103 - Phone
- (503) 906-7300
- Fax
- (503) 245-8219
- NPI assigned
- Feb 9, 2007
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD23159 | OR | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | MD23159 | OR | Primary |
Addresses
Primary practice location
813 SW Highland Ave Ste 202
Redmond, OR 97756-3103
Mailing address
PO Box 230457
Portland, OR 97281-0457
Phone (503) 906-7300
Other practice location 1
9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287124 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curtis T. Thompson, M.D. & Associates, PLLC | Dermatopathology | Current | Accepting new patients |
| Cta Oral Pathology Consultants of Michigan, PLLC | Past | Accepting new patients |
Locations
9750 SW Nimbus Ave
Beaverton, OR 97008
12254 SW Garden Pl
Tigard, OR 97223
Phone (971) 280-6738
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatopathology (Pathology) Physician
- Beaverton, OR
- NPI 1861533481
-
- Oral and Maxillofacial Pathology Dentistry
- Ann Arbor, MI
- NPI 1366244550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1407997596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230457",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972810457",
"telephone_number": "503-906-7300",
"fax_number": "541-322-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 SW HIGHLAND AVE STE 202",
"city": "REDMOND",
"state": "OR",
"postal_code": "977563103",
"telephone_number": "503-906-7300",
"fax_number": "503-245-8219"
}
],
"practiceLocations": [
{
"address_1": "9750 SW Nimbus Ave",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970087172",
"country_code": "US",
"telephone_number": "503-906-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOL",
"first_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OR",
"license": "MD23159",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "OR",
"license": "MD23159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287124",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.