Active NPI
Diana Lynn Pollock, M.D.
- Neurology Physician
- Clearwater, FL
National Provider Identifier
1609825942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME0043485
- Practice address
- 430 Morton Plant St
Suite 400
Clearwater, FL 33756-3398 - Phone
- (727) 443-3295
- Fax
- (727) 446-4336
- NPI assigned
- May 5, 2006
- Last updated
- Feb 2, 2010
- Sex
- Female
- 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 Physician | 2084N0400X | ME0043485 | FL | Primary |
Addresses
Primary practice location
430 Morton Plant St
Suite 400
Clearwater, FL 33756-3398
Mailing address
430 Morton Plant St
Suite 400
Clearwater, FL 33756-3398
Phone (727) 443-3295
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5749634 | Other | FL | AETNA |
| 62605 | Other | FL | BLUE CROSS BLUE SHIELD |
| 268786100 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0043485 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Neurological Specialties, Inc. | Neurology | Past | Accepting new patients |
| MPM Specialists LLC | Neurology | 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.
-
- Neurology Physician
- Clearwater, FL
- NPI 1659320992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1609825942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST",
"address_2": "SUITE 400",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563398",
"telephone_number": "727-443-3295",
"fax_number": "727-446-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST",
"address_2": "SUITE 400",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563398",
"telephone_number": "727-443-3295",
"fax_number": "727-446-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "DIANA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME0043485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5749634",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "62605",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268786100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.