DR. STEPHANIE LYNETTE POOLE (NPI# 1003983693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003983693 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE LYNETTE POOLE |
| Credential | M.D. |
| Practice Address |
611 Campbell Hill St Nw Ste 103 Marietta GA 30060-1386 |
| Mailing Address |
611 Campbell Hill St. Ste. 103 Marietta GA 30060 |
| Practice Telephone | 7704998909 |
| Practice Fax Number | 7704998911 |
| Mailing Telephone | 7704998909 |
| Mailing Fax Number | 7704998911 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 047011 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 047011 | 01 |
| GA | TAX ID | 412137622 | 01 |
| GA | 000949044D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845696 | Stephanie Poole | Social Worker | 8931 E 30th St, Indianapolis, IN 46219-1501 | 2020-03-04 |
| 1760840706 | Stephanie Poole | Counselor | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1156 | 2016-02-05 |
| 1649573106 | Stephanie Lynn Poole | Speech-Language Pathologist | 40 Dale Rd, Avon, CT 06001-3692 | 2010-12-06 |
| Street Address |
611 CAMPBELL HILL ST NW STE 103 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851316624 | Caroline B Miller | Pediatrics | 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060-1386 | 2006-07-13 |
| 1184891400 | Pediatrics At Whitlock P.C. | Clinic/Center | 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060-1386 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073168522 | Richard Rhodes | Pediatrics | 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062-1651 | 2019-08-01 |
| 1437718566 | Rahmath Althaf | Pediatrics | 300 Grand Manor Dr, Marietta, GA 30068-3688 | 2019-06-12 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1376075481 | Julia Johnson Lovin | Pediatrics | 1810 Baldwin Farms Dr, Marietta, GA 30068-1556 | 2017-03-28 |
| 1912244484 | Edgar Allen Vaughan Jr. | Pediatrics | 575 Saint Annes Rd Nw, Marietta, GA 30064-1441 | 2013-01-03 |
| 1104125764 | Alison G. Ball | Pediatrics | 1405 Franklin Gtwy Se, Marietta, GA 30067-8721 | 2011-03-22 |
| 1679885230 | Carrie Ann Stinson | Pediatrics | 677 Church St Ne # 100p, Marietta, GA 30060-1101 | 2010-07-11 |
| 1720273782 | Tina M Smith | Pediatrics | 310 E 8th St Ste 130, Marietta, OH 45750-3379 | 2007-09-12 |
| 1295939627 | Maren Elizabeth Bear | Pediatrics | 677 Church St Ne Ste 100p, Marietta, GA 30060 | 2007-06-11 |
| 1831236546 | Elizabeth Gouri Garrot | Pediatrics | 1880 West Oak Pkwy, Suite 101, Marietta, GA 30062 | 2007-01-31 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. STEPHANIE LYNETTE POOLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.