Active NPI
Amber Lynn Pollak, PA-C
- Physician Assistant
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5900 Byron Center Ave SW
Wyoming, MI 49519-9606 - Phone
- (616) 252-7200
- NPI assigned
- Dec 20, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Primary |
Addresses
Primary practice location
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Mailing address
5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243
Other practice location 1
100 Michigan St NE
Suite 4297
Grand Rapids, MI 49503-2560
Phone (616) 267-7104
Other practice location 2
100 Michigan St NE
Suite 4297
Grand Rapids, MI 49503-2560
Phone (616) 267-7104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5900 Byron Ctr Ave
Wyoming, MI 49519-9606
5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-3243
5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients |
Locations
100 Michigan St NE
Ste 4297
Grand Rapids, MI 49503
Phone (616) 267-7900
4085 Burton St SE
Ste 200
Grand Rapids, MI 49546
3322 Beltline Ct NE
Grand Rapids, MI 49525
Phone (616) 226-2669
4100 Lake Dr SE
Ste 202
Grand Rapids, MI 49546
Phone (616) 974-4400
2750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 267-7015
25 Michigan St NE
Ste 6100
Grand Rapids, MI 49503
Phone (616) 267-7900
3232 N Wellness Dr
Holland, MI 49424
Phone (616) 494-4250
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
2122 Health Dr SW
Wyoming, MI 49519
Phone (616) 252-5950
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1073567806
-
- Durable Medical Equipment & Medical Supplies
- Holland, MI
- NPI 1871741652
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851575294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-3243",
"fax_number": "616-252-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-7200"
}
],
"practiceLocations": [
{
"address_1": "100 Michigan St NE",
"address_2": "Suite 4297",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032560",
"country_code": "US",
"telephone_number": "616-267-7104",
"fax_number": "616-267-7594",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Michigan St NE",
"address_2": "Suite 4297",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032560",
"country_code": "US",
"telephone_number": "616-267-7104",
"fax_number": "616-267-7594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLAK",
"first_name": "AMBER",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.