Active NPI
Craig Pooler, R.P.A.-C.
- Physician Assistant
- Little Falls, MN
National Provider Identifier
1851349161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9070
- Practice address
- 1108 1St St SE
Little Falls, MN 56345-3440 - Phone
- (320) 632-6371
- Fax
- (320) 632-3728
- NPI assigned
- May 5, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9070 | MN | Primary |
Addresses
Primary practice location
1108 1St St SE
Little Falls, MN 56345-3440
Mailing address
1108 1St St SE
Little Falls, MN 56345-3440
Phone (320) 632-6371
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1851349161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 1ST ST SE",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "563453440",
"telephone_number": "320-632-6371",
"fax_number": "320-632-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 1ST ST SE",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "563453440",
"telephone_number": "320-632-6371",
"fax_number": "320-632-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLER",
"first_name": "CRAIG",
"credential": "R.P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.