Individual provider Active NPI

Vincent Pollino, MD

  • Emergency Medicine Physician
  • Dunmore, PA
National Provider Identifier
1801860879
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD038688L Issued in PA
Practice address
1208 Oneill Hwy
Dunmore, PA 18512-1709
Phone
(570) 207-2612
Fax
(570) 207-2616
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD038688L PA Primary

Addresses

Primary practice location

1208 Oneill Hwy
Dunmore, PA 18512-1709

Mailing address

1208 Oneill Hwy
Dunmore, PA 18512-1709
Phone (570) 207-2612

Other identifiers 1

IdentifierTypeStateIssuer
0008614020004MedicaidPA

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

LicenseStateTypeSpecialty
MD038688LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services, PC Emergency Medicine Past Accepting new patients
Emergency Services PC Emergency Medicine Past Accepting new patients
Donna Eget PC PastSince Jan 14, 2013 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1801860879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 ONEILL HWY",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121709",
            "telephone_number": "570-207-2612",
            "fax_number": "570-207-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 ONEILL HWY",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121709",
            "telephone_number": "570-207-2612",
            "fax_number": "570-207-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLINO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD038688L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008614020004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.