Charity Ann Pollak, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22460 Issued in OK

Practice address

1145 S Utica Ave Ste 403
Tulsa, OK 74104-4015

Phone

(918) 960-2006

Fax

(918) 900-1813

NPI assigned

Jul 4, 2006

Last updated

Dec 27, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Midtown Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1669016168
  NPD Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1093745879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 403",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044015",
            "telephone_number": "918-960-2006",
            "fax_number": "917-900-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 403",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044015",
            "telephone_number": "918-960-2006",
            "fax_number": "918-900-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "CHARITY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "22460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Erin Polizzi, APRN
• David Polizzi, MD
• Richard Ross Polk, D.O.
• Riley Shuler Polk, MD
• Sherrita Polk, D.O.
• Maura Markley Pollak
• Caroline Marie Pollard, M.A.
• Chelsea Marie Pollard
• James D Pollard, LCSW
• Joshua P Pollard, LPC-CANDIDATE

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.