Andrew K Pollack, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD022348E Issued in PA

Practice address

501 Office Center Dr
Suite 195
Ft Washington, PA 19034-3220

Phone

(215) 836-7900

Fax

(215) 836-7923

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina L Chambley, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1568463073
  Medicare reassignment
• Panyamol Pam Kittipongdaja, DO

  • Dermatology Physician
  • Glen Mills, PA
  • NPI 1861821589
  Medicare reassignment
• Amanda Stoll Murphy, PA-C

  • Physician Assistant
  • Fort Washington, PA
  • NPI 1073667861
  Medicare reassignment
• Debra Ann Omlor

  • Physician Assistant
  • Plymouth Meeting, PA
  • NPI 1114166352
  Medicare reassignment
• Laurel Radcliffe Schwartz, M.D.

  • Dermatology Physician
  • Fort Washington, PA
  • NPI 1578770251
  Medicare reassignment
• Myriam Lucia Vega Gonzalez

  • Dermatology Physician
  • Baltimore, MD
  • NPI 1134415888

  PA

  Medicare reassignment

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.

• Andrew K Pollack

  • Dermatology Physician
  • Fort Washington, PA
  • NPI 1760555924
  NPD (past) Authorized official

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1063416006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 OFFICE CENTER DR",
            "address_2": "SUITE 195",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190343220",
            "telephone_number": "215-836-7900",
            "fax_number": "215-836-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "ANDREW",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD022348E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HP EAST",
            "identifier": "0057083000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004913",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C29807",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plastic & Hand Surgery LTD
• Carly Platinsky
• Ann Elizabeth Plenderleith, CW
• Benjamin Thomas Pohronezny
• Polk Simmons Counseling Group LLC
• Eugenia Ann Porter, LPN
• Barbara Portnoy, D.M.D.
• Patricia Ann Powers, MS
• Margaret M Preston, LCSW
• Latifah Donette Price, LPN

• Dermatology Physician in Ft Washington, PA
• Providers in Ft Washington, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.