Organization Active NPI

Cape Cod Internal Medicine

  • Internal Medicine Physician
  • Hyannis, MA
National Provider Identifier
1124358882
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70467 Issued in MA
Legal business name
CAPE COD INTERNAL MEDICINE
Practice address
35 Cedar St
Hyannis, MA 02601-3009
Phone
(508) 778-6363
Fax
(508) 778-6677
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Douglas Cecil Pollard, M.D.NPI 1710969803
Title
Owner
Phone
(508) 778-6363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 70467 MA Primary

Addresses

Primary practice location

35 Cedar St
Hyannis, MA 02601-3009

Mailing address

35 Cedar St
Hyannis, MA 02601-3009
Phone (508) 778-6363

Other identifiers 1

IdentifierTypeStateIssuer
3065774MedicaidMA

National Provider Directory

National Provider Directory

Locations

35 Cedar St
Hyannis, MA 02601
Phone (508) 778-6363

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1124358882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CEDAR ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013009",
            "telephone_number": "508-778-6363",
            "fax_number": "508-778-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CEDAR ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013009",
            "telephone_number": "508-778-6363",
            "fax_number": "508-778-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-778-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "70467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065774",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.