Jo Pollack, MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J6665 Issued in TX

Legal business name

JO POLLACK, MD, PA

Doing business as

JP Surgical Associates

Practice address

18300 Katy Fwy Ste 275
Medical Office Building 2
Houston, TX 77094-1521

Phone

(713) 496-1101

Fax

(713) 461-1593

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Jo M Pollack, M.D.

Title

Medical Doctor

Phone

(713) 461-1013

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JP Surgical Associates Doing business as

Locations

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1508047705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY STE 275",
            "address_2": "MEDICAL OFFICE BUILDING 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941521",
            "telephone_number": "713-496-1101",
            "fax_number": "713-461-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY STE 275",
            "address_2": "MEDICAL OFFICE BUILDING 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941521",
            "telephone_number": "713-496-1101",
            "fax_number": "713-461-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO POLLACK, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "713-461-1013",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J6665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00140339",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1711335-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JP Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.