KEITH A POOLE


Address: 55741 National Road, Bridgeport, OH 43912
Phone: 7406354572

KEITH A POOLE (NPI# 1487609558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487609558
Entity Type Individual
Full Name KEITH A POOLE
Credential DO
Practice Address 55741 National Road
Bridgeport
OH 43912
Practice Telephone 7406354572
Practice Fax Number 7406354575
Mailing Telephone 7406354572
Mailing Fax Number 7406354575
Enumeration Date 2006-05-24
Last Update Date 2020-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 34.007929 OH Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 1840 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 1841034000 05
OH 2345144 05

Office Location

Street Address 55741 NATIONAL ROAD
City BRIDGEPORT
State OH
Zip Code 43912

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093321044 Linda L Link Private Vehicle 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 2020-09-16
1427604339 Tammy Sue Cox Behavior Technician 68583 Scott Street, Bridgeport, OH 43912 2019-08-15
1891056750 Amy Snedeker Intermediate Care Facility, Mental Illness 68181 Neola Avenue, Bridgeport, OH 43912 2012-06-06
1790064111 Tiffanie M Patton Home Health Aide 69395 Sunset Heights, Bridgeport, OH 43912 2011-08-16
1841415247 Doris Ann Newman Nurse's Aide 56362 Berkley Avenue, Bridgeport, OH 43912 2007-04-13
1689732778 Gerald C Booth Chiropractor 56104 National Road, Suite 112a, Bridgeport, OH 43912 2006-12-04
1578646808 Fausto J Lazo Family Medicine 55741 National Rd, Bridgeport, OH 43912 2006-10-23
1225144108 Riesbeck Food Markets, Inc. Pharmacy 56130 National Road, Bridgeport, OH 43912 2006-08-22
1285605329 Peter Eugene Perzanowski Chiropractor 300 Howard St, Ste 2, Bridgeport, OH 43912 2006-01-27
1376191056 Chad Onifer Behavior Technician 68583 Scott Street, Bridgeport, OH 43912 2019-08-27
Find all providers in zip 43912

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780158287 Rejuvenation Medspa Family Medicine 1400 Johnson Ave Ste 4a, Bridgeport, WV 26330-1063 2019-01-17
1497244321 Sanitas of Connecticut LLC Family Medicine 4551 Main St, Bridgeport, CT 06606-1818 2018-05-07
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1013395755 Clinisanitas, PC Family Medicine 4543 Main St, Bridgeport, CT 06606-1818 2015-05-14
1982941431 Razia Sultana Hashmi Family Medicine 115 Highland Ave, Bridgeport, CT 06604-3549 2013-01-03
1508025594 Awais Malik Family Medicine 754 Clinton Ave, Bridgeport, CT 06604-2301 2008-06-04
1508062423 Bridgeport Family Practice Obgyn Clinic Family Medicine 615 Kendall Ave, Bridgeport, AL 35740 2007-06-26
1760505887 Vinai Montricul Family Medicine 47910 Al Highway 277, Bridgeport, AL 35740-7206 2007-04-06
1942341060 Zijad Sabovic Family Medicine 3000 Park Ave, Bridgeport, CT 06604-1105 2007-02-09
1538207295 Bridgeport Family Health LLC Family Medicine 1381 Reservoir Avenue, Bridgeport, CT 06606-2502 2007-02-02
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 43912

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Dataset Information

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.

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