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JUSTIN C POOL PA-C NPI 1952402257


NPI Information

NPI: 1952402257
Provider Name: JUSTIN C POOL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: POCATELLO HEALTH SERVICES LLC

PECOS Registration: Yes

Address:
2240 E CENTER ST
POCATELLO, ID
ZIP 83201
Phone: (208) 233-2100
Get Directions

Justin C Pool, PA-C is a surgical physician assistant in Pocatello, ID with 18 years of experience. Justin C Pool, PA-C NPI is 1952402257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2240 E CENTER ST
POCATELLO, ID
ZIP 83201-600
Phone: (208) 233-2100
Fax: (208) 233-3146

The NPI 1952402257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 2/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical5124950-1206UTAHNo
2363AS0400XPhysician AssistantSurgicalPA1007IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.