Paul Pollack, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

35-077789 Issued in OH

Practice address

2529 E Broad St
Bexley, OH 43209-1758

Phone

(614) 573-6984

NPI assigned

May 21, 2014

Last updated

May 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1649682964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 E BROAD ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432091758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 E BROAD ST",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432091758",
            "telephone_number": "614-573-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35-077789",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OH",
            "license": "35-077789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Passafiume, ED.S.
• Megan Ann Pencil, MSN, FNP-C
• Peter S. Stanos, DO. Inc.
• Laura Renee Pierce, LMT
• Marquise Pierre, MT
• Karen Jenny Porter, MSSA, LISW-S
• Pristine Care LLC
• Psychological Associates Inc.
• Nicholas Andrew Reber
• Michael Joseph Ritchey, D.P.M.

• Neonatal-Perinatal Medicine Physician in Bexley, OH
• Providers in Bexley, OH by specialty
• Neonatal-Perinatal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.