NPIMap

Individual provider Active NPI

Theodore W. Pollock, DO

  • Hematology & Oncology Physician
  • Grove City, OH
National Provider Identifier
1609817246
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4678 Issued in OK
Practice address
1957 Ohio Dr
Grove City, OH 43123-4835
Phone
(614) 366-5671
Fax
(614) 688-7581
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4678 OK Primary
Hematology & Oncology Physician 207RH0003X 34.002304 OH
Internal Medicine Physician 207R00000X 34.002304 OH

Addresses

Primary practice location

1957 Ohio Dr
Grove City, OH 43123-4835

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 366-5671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070424000262 OH Practitioner - Hematology/Oncology 0042244931 Reassigns benefits to 1 organization
I20090120000261 OK Practitioner - Medical OncologyPractitioner - Internal Medicine 0042244931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
  • Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4678OKMDProfessional Counselor
34.002304OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Jun 1, 2020 Accepting new patients
Northeastern Health System CurrentSince Jun 1, 2020 Accepting new patients
Osup Community Outreach LLC CurrentSince Jan 1, 2026 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Northeastern Health System Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Central Ohio Oncology, LLP PastSince May 21, 2007 Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

1957 Ohio Dr
Grove City, OH 43123
Phone (614) 366-5671

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1609817246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-366-5671",
            "fax_number": "614-688-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 OHIO DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234835",
            "telephone_number": "614-366-5671",
            "fax_number": "614-688-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "THEODORE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "4678",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "34.002304",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.002304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.