Thomas Andrew Pollehn, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

29070 Issued in SC

Practice address

169 Ashley Avenue MSC 300, RM 115
Musc Dept of Emergency Medicine Main Hospital
Charleston, SC 29425

Phone

(843) 792-9710

NPI assigned

Nov 22, 2005

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1578546883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVENUE MSC 300, RM 115",
            "address_2": "MUSC DEPT OF EMERGENCY MEDICINE MAIN HOSPITAL",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVENUE MSC 300, RM 115",
            "address_2": "MUSC DEPT OF EMERGENCY MEDICINE MAIN HOSPITAL",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEHN",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101226848",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "29070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005851190",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Roberts Polk, LPC
• Hannah Johnson Polk, MS, CGC
• James Polk, DO
• Jasmine Kyla Polkowske, MD
• Ross B Pollack, MD
• Logan Polsinello
• Keith Franklin Lamar Polston, MD
• Baylee Rose Polzin, MD
• Jessica Mischler Pomerantz, DDS
• Gregory Jay Pomper, MD

• Emergency Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.