Individual provider Active NPI

William S Pollard III, M.D.

  • Specialist
  • Puyallup, WA
National Provider Identifier
1215941786
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00025152 Issued in WA
Practice address
1910 S Meridian
Puyallup, WA 98371-7531
Phone
(253) 848-2303
Fax
(253) 848-8956
NPI assigned
Jul 28, 2006
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00025152 WA Primary

Addresses

Primary practice location

1910 S Meridian
Puyallup, WA 98371-7531

Mailing address

1910 S Meridian
Puyallup, WA 98371-7531
Phone (253) 848-2303

Other identifiers 1

IdentifierTypeStateIssuer
1038454MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20131125001468 WA Practitioner - Pediatric Medicine 4082840996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00025152WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 4, 2013 Accepting new patients
Multicare Health System CurrentSince Nov 4, 2013 Accepting new patients
Multicare Health System Current Accepting new patients
Evergreen Children's Clinic, PLLC Past Accepting new patients
Evergreen Children's Clinic Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

1112 S 5th St
Tacoma, WA 98405
Phone (253) 403-1478

Interoperability endpoints

  • Direct secure messaging: wpollardmdfaap2436@direct.multicare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1215941786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717531",
            "telephone_number": "253-848-2303",
            "fax_number": "253-848-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717531",
            "telephone_number": "253-848-2303",
            "fax_number": "253-848-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00025152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038454",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.