MARY BRUCE POOLE (NPI# 1437230158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437230158 |
| Entity Type | Individual |
| Full Name | MARY BRUCE POOLE |
| Credential | MD |
| Practice Address |
2101 Ken Pratt Blvd Suite 104 Longmont CO 80501-6567 |
| Mailing Address |
5450 Western Ave Suite B Boulder CO 80301-2709 |
| Practice Telephone | 3037761532 |
| Practice Fax Number | 3037763109 |
| Mailing Telephone | 3034154770 |
| Mailing Fax Number | 3034154769 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 22614 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04005930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225696024 | Mary Avery Poole | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2019-06-05 |
| 1407862683 | Mary L Poole | Speech-Language Pathologist | 500 Oval Drive, 1353 Heavilon Hall, West Lafayette, IN 47907-2038 | 2006-07-31 |
| 1942296777 | Mary Poole | Internal Medicine | 8012 3rd Ave, Brooklyn, NY 11209-3802 | 2005-09-27 |
| Street Address |
2101 KEN PRATT BLVD SUITE 104 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679654909 | Thomas Laverne Bachinski | Physician Assistant | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-17 |
| 1801433867 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-12-09 |
| 1992353064 | Boulder Community Health | Clinical Medical Laboratory | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-08-30 |
| 1033767744 | Rebekah Harvey | Nurse Practitioner | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-08-27 |
| 1376807727 | Tanja Krutina Lindsey | Family Medicine | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2012-06-29 |
| 1093896342 | Holly Lewis | Internal Medicine | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-17 |
| 1285715532 | Laird Peter Cagan | Internal Medicine | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6567 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396070587 | Honor Kristine Ashbaugh | Internal Medicine | 1823 Sunset Pl, Longmont, CO 80501-6552 | 2009-10-06 |
| 1124293535 | Sara Donley Robinson | Internal Medicine | 2030 Mountain View Ave Ste 210, Longmont, CO 80501-3180 | 2008-04-25 |
| 1124245543 | Sarah J Mckinley | Internal Medicine | 1750 E Ken Pratt Blvd Fl 3, Longmont, CO 80504 | 2007-04-19 |
| 1104907450 | Peter Barkalow Holt | Internal Medicine | 2030 W Mountain View Avenue, Suite 400, Longmont, CO 80501-3178 | 2006-10-17 |
| 1376624619 | Frontier Internal Medicine PC | Internal Medicine | 2030 West Mountain View Avenue, Suite 400, Longmont, CO 80501-3178 | 2006-10-17 |
| 1326057050 | Alessandro Testori | Internal Medicine | 1551 Professional Ln Unit 170, Longmont, CO 80501-6971 | 2006-08-05 |
| 1831161108 | Tana M Levine | Internal Medicine | 2451 Pratt St, Longmont, CO 80501-1123 | 2006-02-02 |
| 1487634481 | Diego M Freitas | Internal Medicine | 164 Primrose Ct, Longmont, CO 80501-6004 | 2006-01-18 |
| 1750378279 | Freda Eva Gardner | Internal Medicine | 1611 Orion Pl, Longmont, CO 80504-8836 | 2005-09-29 |
| 1174521058 | David Mccarty | Internal Medicine | 815 Panorama Cir, Longmont, CO 80501-4716 | 2005-07-13 |
| Find all providers in LONGMONT | ||||
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| 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.