Karen P Pollock, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

23086 Issued in SC

Practice address

11134 Broad River Rd
Suite D
Irmo, SC 29063-7616

Phone

(803) 732-0920

Fax

(803) 227-2759

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12379/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ballentine Pediatrics, LLC

  • Pediatric Adolescent Medicine Physician
  • Irmo, SC
  • NPI 1629234141
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1023162286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11134 BROAD RIVER RD",
            "address_2": "SUITE D",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637616",
            "telephone_number": "803-732-0920",
            "fax_number": "803-227-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11134 BROAD RIVER RD",
            "address_2": "SUITE D",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637616",
            "telephone_number": "803-732-0920",
            "fax_number": "803-227-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "KAREN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "SC",
            "license": "23086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5337",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230869",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter M. Petrusic, MS, ATC, PTA
• Margaret Livingston Phillips, DMD
• Jeanita Dunlap Pinkerton, PHARM.D.
• Angela B. Pitts, MS, LMHC, LPC, NCC
• Bryson Platt
• Hunter B Porter, NP-C
• Kevin L Potts, RPH
• Patricia Powell, RN
• Brittany Powers Berlinrut, DPT, FAAOMPT
• PPCP Specialty Physicians , LLC

• Pediatric Adolescent Medicine Physician in Irmo, SC
• Providers in Irmo, SC by specialty
• Pediatric Adolescent Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.