Individual provider Active NPI

Anthony Pollard, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1295754695
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
426 Issued in NV
Practice address
8687 W Sahara Ave Ste 200
Las Vegas, NV 89117-5869
Phone
(702) 367-7500
Fax
(702) 707-0264
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 426 NV Primary

Addresses

Primary practice location

8687 W Sahara Ave Ste 200
Las Vegas, NV 89117-5869

Mailing address

8687 W Sahara Ave Ste 200
Las Vegas, NV 89117-5869
Phone (702) 367-7500

Other identifiers 1

IdentifierTypeStateIssuer
002002105MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20121105000164 NV Practitioner - Family Practice 6800782012 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
426NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pollard Concierge Health and Wellness Family Medicine Current Accepting new patients
C & C Health Care Services LLC Past Accepting new patients
Anthony L Pollard DO a Professional Corporation Family Medicine Past Accepting new patients

Locations

8687 W Sahara Ave
Ste 200
Las Vegas, NV 89117
Phone (702) 367-7500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1295754695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 W SAHARA AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175869",
            "telephone_number": "702-367-7500",
            "fax_number": "072-367-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 W SAHARA AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175869",
            "telephone_number": "702-367-7500",
            "fax_number": "702-707-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002105",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.