William M Pollock, M.D., PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C10004865 Issued in DE

Legal business name

WILLIAM M POLLOCK, M.D., PA

Practice address

15 Omega Dr
BLDG K Suite 2
Newark, DE 19713-2057

Phone

(302) 454-3040

Fax

(302) 454-7733

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William M Pollock, MD

Title

Physician

Phone

(302) 454-3040

Specialties & licenses 1

Addresses

Other identifiers 10

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639219959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OMEGA DR",
            "address_2": "BLDG K SUITE 2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132057",
            "telephone_number": "302-454-3040",
            "fax_number": "302-454-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OMEGA DR",
            "address_2": "BLDG K SUITE 2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132057",
            "telephone_number": "302-454-3040",
            "fax_number": "302-454-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M POLLOCK, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "302-454-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "DE",
            "license": "C10004865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0192712000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "27491",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "100754",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1536348",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2268802000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDATLANTIC",
            "identifier": "2120",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BLUE CROSS",
            "identifier": "2268802000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2353939",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000740401",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "444663",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Cambridge Will
• Jodi Willems, LCPC
• JD Willetts II, PH.D.
• Judith Kay Willetts, PH.D.
• William B. Funk, M.D., PA
• William R. Atkins Jr., M.D.
• Alton Allen Williams, O.D.
• Amanda Elizabeth Williams, FNP-BC
• Bennita L Williams, LMSW
• Burnie E Williams, DC

• Surgery Physician in Newark, DE
• Providers in Newark, DE by specialty
• Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.