Micah Poole
Micah Poole is a Physician Assistant in Pineville, Louisiana. Qualified in 2021, 5 years ago. Practices with Radiology Associates of Southwest Louisiana, a 99-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 5
- Licensed in
- LA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
219 Philadelphia RdPineville, LA 71360-9136
Phone: (318) 452-2988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 328815 (LA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1447844477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2021 |
| Last updated in NPPES | September 25, 2021 |
| Certification date | September 25, 2021 |
| Mailing address | 219 Philadelphia Rd, Pineville, LA 71360-9136 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Radiology Associates Of Southwest Louisiana — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Pineville
-
Jaimin Patel
3100 Highway 28 E, Pineville, LA 71360-5702 · (318) 561-2381