Individual provider Active NPI

Richard W. Pooley, M.D.

  • General Practice Physician
  • Ridgefield, CT
National Provider Identifier
1700045895
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
012775 Issued in CT
Practice address
32 Cooper Hill Rd
Ridgefield, CT 06877-5904
Phone
(203) 431-3200
NPI assigned
Jun 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 012775 CT Primary

Addresses

Primary practice location

32 Cooper Hill Rd
Ridgefield, CT 06877-5904

Mailing address

32 Cooper Hill Rd
Ridgefield, CT 06877-5904
Phone (203) 431-3200

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012775CTMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1700045895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COOPER HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068775904",
            "telephone_number": "203-431-3200",
            "fax_number": "203-431-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COOPER HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068775904",
            "telephone_number": "203-431-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLEY",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "012775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.