Active NPI
Joseph Daniel Pool, M.D.
- Pediatrics Physician
- Greenville, SC
National Provider Identifier
1821032814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11583
- Practice address
- 9 Mills Ave
Greenville, SC 29605-4015 - Phone
- (864) 242-4840
- Fax
- (864) 232-8113
- NPI assigned
- Jun 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11583 | SC | Primary |
Addresses
Primary practice location
9 Mills Ave
Greenville, SC 29605-4015
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6044
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1567132 | Other | SC | CIGNA ID |
| 115832 | Medicaid | SC | |
| 4460410 | Other | SC | AETNA ID |
| 571004971001 | Other | SC | BCBS OF SC ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
9 Mills Ave
Greenville, SC 29605
Phone (864) 242-4840
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1821032814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054015",
"telephone_number": "864-242-4840",
"fax_number": "864-232-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "JOSEPH",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "11583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "1567132",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115832",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "4460410",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF SC ID",
"identifier": "571004971001",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.