Active NPI
Michael Allen Pollack, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Orlando, FL
National Provider Identifier
1447282819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- ME17327
- Practice address
- 7000 Lake Ellenor Dr
Children's Medical Services
Orlando, FL 32809-5749 - Phone
- (407) 856-6519
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME17327 | FL | Primary |
Addresses
Primary practice location
7000 Lake Ellenor Dr
Children's Medical Services
Orlando, FL 32809-5749
Mailing address
PO Box 560005
Orlando, FL 32856-0005
Phone (407) 856-6519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039695800 | Medicaid | FL |
Other names 1
- Michael A Pollack
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1447282819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560005",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328560005",
"telephone_number": "407-856-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 LAKE ELLENOR DR",
"address_2": "CHILDREN'S MEDICAL SERVICES",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328095749",
"telephone_number": "407-856-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME17327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039695800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "POLLACK",
"middle_name": "A",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.