Active NPI
Mark Pohlman, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Longmeadow, MA
National Provider Identifier
1386022218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 33024
- Practice address
- 165 Converse St
Unit #9
Longmeadow, MA 01106-1711 - Phone
- (413) 567-3054
- NPI assigned
- May 12, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 33024 | MA | Primary |
Addresses
Primary practice location
165 Converse St
Unit #9
Longmeadow, MA 01106-1711
Mailing address
165 Converse St
Unit #9
Longmeadow, MA 01106-1711
Phone (413) 567-3054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33024 | Other | MA | PHYSICIAN- RETIRED |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33024 | MA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1386022218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 CONVERSE ST",
"address_2": "UNIT #9",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061711",
"telephone_number": "413-567-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 CONVERSE ST",
"address_2": "UNIT #9",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061711",
"telephone_number": "413-567-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHLMAN",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MA",
"license": "33024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN- RETIRED",
"identifier": "33024",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.