Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shawn Michael Poole, MD

Individual provider Vascular Surgery Physician · NPI 1497315873

Dr. Shawn Michael Poole, MD is a Vascular Surgery in Springfield, Illinois. Qualified in 2024, 2 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Illinois.

Years since qualifying
2
Licensed in
GA, IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 N 1st St # D346
Springfield, IL 62702-3757
Phone: (217) 545-8444
Fax: (217) 545-2563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 980 Johnson Ferry Rd Ste 1040, Atlanta, GA 30342-1609 — (770) 292-3490

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 125.074978 (IL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 101054 (GA)

Record details

NPI number1497315873
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESJuly 22, 2024
Certification dateSeptember 7, 2023
Mailing addressPo Box 19638, Springfield, IL 62794-9638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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