P Praxis·MD
● Active Type 1 · Individual

Justin C Pool, PA-C

Physician Assistant·Pocatello, ID· NPI 1952402257 · Enumerated 2006 · 19 years on NPI
Pool is 1 of 8 physician assistant providers in Pocatello and 1 of 97 in Idaho.
NPI age
19 years
Enumerated 2006-09-26
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-02-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 97 active physician assistant providers in Idaho.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 56% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
2240 E Center St
Pocatello, ID 832012600
📞 2082332100fax 2082333146
Mailing address
2240 E Center St
Pocatello, ID 832012600
📞 2082332100fax 2082333146

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA1007 taxonomy 363AS0400X
  • Physician Assistant
    Definition to come...
    UT license #5124950-1206 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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