Gary L. Poole

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AO1177 Issued in AR

Legal business name

GARY L. POOLE

Doing business as

Stamps Medical Clinic

Practice address

218 Church St
Stamps, AR 71860-2816

Phone

(870) 533-8808

Fax

(870) 533-8838

NPI assigned

Mar 27, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary L. Poole, APNNPI 1316914724

Title

Owner

Phone

(870) 533-8808

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Stamps Medical Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Lee Poole, ANP

  • Family Nurse Practitioner
  • Stamps, AR
  • NPI 1316914724
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1962521617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CHURCH ST",
            "city": "STAMPS",
            "state": "AR",
            "postal_code": "718602816",
            "telephone_number": "870-533-8808",
            "fax_number": "870-533-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CHURCH ST",
            "city": "STAMPS",
            "state": "AR",
            "postal_code": "718602816",
            "telephone_number": "870-533-8808",
            "fax_number": "870-533-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. POOLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-533-8808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "AO1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5J597",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00115264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INDIVIDUAL NPI#",
            "identifier": "1316914724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "5C958",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150962762",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stamps Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Nicole Briggs, COTA/L
• Neeley L. Cox, L.C.S. W.
• David C Dickson
• Robert Charles Fitzhugh, O.D.
• Freds Stores of Tennessee Inc (Freds Pharmacy 2906)
• Griffins Pharmacy Inc
• Ham's Drugs & Gifts, Inc. (Peoples Drug and Gift)
• Harrison Family Medicine (Stamps Medical Clinic)
• Dianne Renee Harrison, FNP
• Highlands of Stamps Holdings LLC (Highlands of Stamps Therapy and Living Center)

• Nurse Practitioner in Stamps, AR
• Providers in Stamps, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.