MRS. CRYSTAL DANIELLE POOLE (NPI# 1881844363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881844363 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL DANIELLE POOLE |
| Credential | PA |
| Practice Address |
3815 Faber Place Dr North Charleston SC 29405-8533 |
| Practice Telephone | 8437679312 |
| Practice Fax Number | 8437679313 |
| Mailing Telephone | 8437679312 |
| Mailing Fax Number | 8437679313 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TL1351 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3815 FABER PLACE DR |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-8533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950627 | Eric Thomas Pride | Internal Medicine | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2005-05-23 |
| 1366932493 | Elizabeth A Batten | Nurse Practitioner | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2018-05-15 |
| 1447579727 | Crystal D Campbell | Physician Assistant | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2010-05-25 |
| 1386818698 | Bradley Scott Kalinsky | Internal Medicine | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2008-04-17 |
| 1649247685 | Suzan M Kleckley | Nurse Practitioner | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2006-03-08 |
| 1629054960 | Charleston Nephrology Associates, LLC | Internal Medicine | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2005-12-19 |
| 1700889938 | Richard Wayne Browder | Internal Medicine | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2005-05-23 |
| 1962405191 | Kenneth Arnold Dodds | Internal Medicine | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2005-05-23 |
| 1730182932 | Benjamin Blake Weathersby | Internal Medicine | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2005-05-23 |
| 1942203161 | Samuel Clay Franklin Jr. | Internal Medicine | 3815 Faber Place Dr, North Charleston, SC 29405-8533 | 2005-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962737684 | Lauren Shelton Davis | Physician Assistant | 9150-b Medcom Street, North Charleston, SC 29406-9171 | 2009-10-14 |
| 1699774034 | Jason Kenneth Trigiani | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2005-07-19 |
| 1043685522 | Carly Runey | Physician Assistant | 2695 Elms Plantation Blvd, Suite A, North Charleston, SC 29406-7132 | 2015-12-09 |
| 1871967596 | Lauren Emily Barsan | Physician Assistant | 2695 Elms Plantation Blvd, Suite B, North Charleston, SC 29406-7132 | 2015-11-18 |
| 1750769014 | Emily Anna Haynes | Physician Assistant | 2233 Northwoods Blvd, North Charleston, SC 29406-4007 | 2015-05-07 |
| 1952709008 | John Martin Covington | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-12-05 |
| 1043617327 | Laura Cain | Physician Assistant | 8740 Rivers Ave, North Charleston, SC 29406-9211 | 2014-12-02 |
| 1417357336 | Morgan Conde | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-08-27 |
| 1336490739 | Justin Tyler Runey | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2012-09-25 |
| 1699000471 | Claire Hamer Kirkpatrick | Physician Assistant | 5880 Rivers Ave, North Charleston, SC 29406-6053 | 2009-10-12 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on MRS. CRYSTAL DANIELLE 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.