Active NPI
Pamela J Poland, M.D.
- Ophthalmology Physician
- Ponca City, OK
National Provider Identifier
1285639781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 17919
- Practice address
- 400 Fairview Ave
Ste 18
Ponca City, OK 74601-1920 - Phone
- (580) 762-5696
- Fax
- (580) 762-7622
- NPI assigned
- Jun 20, 2005
- Last updated
- Mar 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 17919 | OK | Primary |
Addresses
Primary practice location
400 Fairview Ave
Ste 18
Ponca City, OK 74601-1920
Mailing address
400 Fairview Ave
Ste 18
Ponca City, OK 74601-1920
Phone (580) 762-5696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1285639781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FAIRVIEW AVE",
"address_2": "STE 18",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011920",
"telephone_number": "580-762-5696",
"fax_number": "580-762-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAIRVIEW AVE",
"address_2": "STE 18",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011920",
"telephone_number": "580-762-5696",
"fax_number": "580-762-7622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAND",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OK",
"license": "17919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
- Phillip a. Tyndall, DDS,PC
- Jamie Dawn Phillips, MS, LPC
- Physicians Urgent Care Center, Inc.
- Amie Elaine Pickard, MCP
- Paul Bradley Plowman, M.D.
- Ponca City Dental Group PLLC
- Ponca City Home Care Services, LLC (Assured Home Health of Ponca City)
- Ponca City Homecare Services Inc (At Home Medical of Ponca City DME)
- Ponca City Homecare Services Inc. (At Home Medical of Ponca City)
- Ponca City Immediate Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.