Individual provider Active NPI

Charles Pollard III, NP

  • Family Nurse Practitioner
  • Midwest City, OK
National Provider Identifier
1497164396
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
87886 Issued in OK
Practice address
6951 SE 15TH St
Midwest City, OK 73110-2748
Phone
(405) 233-0450
NPI assigned
Aug 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 87886 OK Primary

Addresses

Primary practice location

6951 SE 15TH St
Midwest City, OK 73110-2748

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (889) 871-1518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414000120 OK Practitioner - Nurse Practitioner 4183942683 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
87886OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fhcokc, Inc Family CurrentSince Mar 1, 2021 Accepting new patients
Neighborhood Family Clinic & Minor CurrentSince Mar 1, 2021 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Family CurrentSince Jun 16, 2022 Accepting new patients
Pollard Family Health and Wellness, LLC CurrentSince Jun 28, 2020 Accepting new patients
My Family Clinic LLC CurrentSince Jun 1, 2016 Accepting new patients
Archwell Health Professional Services of Oklahoma, LLC CurrentSince Jun 5, 2023 Accepting new patients
Family Health Care & Minor Emergency Clinic Inc CurrentSince Mar 1, 2021 Accepting new patients
Oak Street Health of Georgia PC Family Past Accepting new patients
Summit Medical Center Past Accepting new patients
Renee Roy, MD PC Past Accepting new patients

Locations

6951 SE 15th St
Midwest City, OK 73110
Phone (405) 233-0450

1918 NE 23rd St
Oklahoma City, OK 73111
Phone (405) 453-8000

6102 NW 63rd St
Ste A
Oklahoma City, OK 73132
Phone (405) 373-2400

6102 NW 63rd St
#B
Oklahoma City, OK 73132
Phone (405) 373-2400

2501 N Blackwelder Ave
Oklahoma City, OK 73106
Phone (405) 208-5000

3717 S Western Ave
Oklahoma City, OK 73109
Phone (405) 601-6000

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005

11109 Surrey Hills Blvd
Yukon, OK 73099
Phone (405) 373-2400

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 10

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1497164396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "889-871-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102748",
            "telephone_number": "405-233-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "87886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.