Active NPI
Michael Stephen Pollock, MD
- Orthopaedic Surgery Physician
- Clarion, PA
National Provider Identifier
1689692170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 022349E
- Practice address
- 24 Doctors LN
Suite 104
Clarion, PA 16214-8568 - Phone
- (814) 226-1950
- Fax
- (814) 226-1951
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 022349E | PA | Primary |
Addresses
Primary practice location
24 Doctors LN
Suite 104
Clarion, PA 16214-8568
Mailing address
121 Doctors LN
Clarion, PA 16214-8515
Phone (814) 226-3470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252352 | Other | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022349E | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Physician Services | Current | Accepting new patients |
Locations
95 Leonard Ave
Bldg 1
Washington, PA 15301
Phone (724) 206-0610
95 Leonard Ave
Ste 202
Washington, PA 15301
Phone (252) 757-2663
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
Interoperability endpoints
- pollock_michael@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448582400000",
"number": "1689692170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DOCTORS LN",
"city": "CLARION",
"state": "PA",
"postal_code": "162148515",
"telephone_number": "814-226-3470",
"fax_number": "814-226-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 DOCTORS LN",
"address_2": "SUITE 104",
"city": "CLARION",
"state": "PA",
"postal_code": "162148568",
"telephone_number": "814-226-1950",
"fax_number": "814-226-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "MICHAEL",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2015-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "022349E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "252352",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.