James Douglas Pollock, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS004363L Issued in PA

Practice address

1611 Peach St
Ste 320
Erie, PA 16501-2122

Phone

(814) 456-2003

Fax

(814) 456-4098

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296864000000",
    "number": "1861497216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST",
            "address_2": "STE 320",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012122",
            "telephone_number": "814-456-2003",
            "fax_number": "814-456-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST",
            "address_2": "STE 320",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012122",
            "telephone_number": "814-456-2003",
            "fax_number": "814-456-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004363L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "403370",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0522550",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904644",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "C33448",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Poker, PHARM. D.
• Alison R Polansky, PA-C
• Karyn Elizabeth Polaski, MS SLP
• Demarko Polk II
• Allison Patricia Pollock, PA-C
• Michele Polon
• Rebecca Lou Pomeroy, L.P.C.
• Savanna Pomeroy, MS
• Breanne Ponder-Drew
• Brianne Elizabeth Pongratz, COTA/L

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.