Loren Richard Pool, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35042283 Issued in OH

Practice address

4557 Quick Rd
Peninsula, OH 44264-9794

Phone

(330) 923-7828

Fax

(330) 923-1201

NPI assigned

Aug 21, 2006

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northampton Physicians Inc

  • Family Medicine Physician
  • Peninsula, OH
  • NPI 1437264009
  Authorized official Same address or phone
• Medina Emergency Associates LTD

  • Emergency Medicine Physician
  • Medina, OH
  • NPI 1174525620
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1427163096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 IRA ROAD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331903",
            "telephone_number": "330-666-7716",
            "fax_number": "330-666-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 QUICK RD",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649794",
            "telephone_number": "330-923-7828",
            "fax_number": "330-923-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "LOREN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35042283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northampton Meadows
• Northampton Physicians Inc
• Siu Ting Padrutt, RN
• Barry Lee Pamula, RPH
• Amy L. Patterson
• Priscilla A Poteete, LPN
• Shannon Reed
• Patricia Ann Schick
• Brenda Smith
• Morgan L. Smith, LPN

• Family Medicine Physician in Peninsula, OH
• Providers in Peninsula, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.