Individual provider Active NPI

Ryan Pollard, DO

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1225618382
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS023997 Issued in PA
Practice address
1600 St Lukes Blvd FL 2
Easton, PA 18045-5671
Phone
(484) 503-4673
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO.3028 AL
Hematology & Oncology Physician 207RH0003X OT023390 PA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X OS023997 PA Primary

Addresses

Primary practice location

1600 St Lukes Blvd FL 2
Easton, PA 18045-5671

Mailing address

1600 St Lukes Blvd FL 2
Easton, PA 18045-5671
Phone (205) 971-5745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221123000383 AL Practitioner - Internal Medicine 2860860855 Reassigns benefits to 6 organizations
I20240919000440 PA Practitioner - Internal Medicine 2860860855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Practice addresses (Care Compare)

100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (484) 526-2440

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

360 W Riddle St
Coaldale, PA 18218-1027

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3028ALMDGeneral Practice Dentistry
DO.3028ALMDInternal Medicine Physician
OS023997PAMDInternal Medicine Physician
OT023390PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mountain Group Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Ivy Creek of Tallapoosa, LLC CurrentSince Nov 14, 2022 Accepting new patients
Gslpg, Inc CurrentSince Sep 1, 2024 Accepting new patients
Ivy Creek of Tallapoosa LLC CurrentSince Nov 14, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Chilton Family Care, LLC CurrentSince Nov 14, 2022 Accepting new patients
Ivycreek of Elmore LLC CurrentSince Nov 1, 2022 Accepting new patients
Enterprise Urgent Care CurrentSince Nov 14, 2022 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Nov 14, 2022 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Pennsylvania Hospitalist Group, LLC CurrentSince Jul 10, 2024 Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients
Ivy Creek of Elmore, LLC Past Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677

301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

500 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-4311

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

1600 St Lukes Blvd
Fl 2
Easton, PA 18045
Phone (484) 425-2247

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: rpollard326051@direct-sluhn.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1225618382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD FL 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "205-971-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD FL 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-503-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.3028",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "OT023390",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS023997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.