Active NPI
Marcus L Pollard, MD
- Orthopaedic Surgery Physician
- Salem, OR
National Provider Identifier
1871510339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD14707
- Practice address
- 700 Bellevue St SE
Ste 225
Salem, OR 97301-3819 - Phone
- (503) 485-0397
- Fax
- (503) 485-0399
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | MD14707 | OR | Primary |
Addresses
Primary practice location
700 Bellevue St SE
Ste 225
Salem, OR 97301-3819
Mailing address
700 Bellevue St SE
Ste 225
Salem, OR 97301-3819
Phone (503) 485-0397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174920 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD14707 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Orthopedic Group LLC | Orthopaedic Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hope Orthopedics of Oregon
- Orthopaedic Surgery Physician
- Corvallis, OR
- NPI 1720315302
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": "1281484800000",
"number": "1871510339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BELLEVUE ST SE",
"address_2": "STE 225",
"city": "SALEM",
"state": "OR",
"postal_code": "973013819",
"telephone_number": "503-485-0397",
"fax_number": "503-485-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BELLEVUE ST SE",
"address_2": "STE 225",
"city": "SALEM",
"state": "OR",
"postal_code": "973013819",
"telephone_number": "503-485-0397",
"fax_number": "503-485-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "MARCUS",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD14707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174920",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
- Vanessa Isabella Polanco
- Polaris Dental Specialists
- Wendy Poling, COTA
- Polk County Mental Health
- Polk Yamhill & Marion Child Treatment Services Inc (Poyama Counseling Services)
- McKayla Pollard
- Susan Polvi, LPC
- Pomeroy Eyecare, P.C. (James P. Randolph, O. D.)
- Gayle Wigington Pomroy, RN
- Benjamin James Pomy, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.