Phyllis Pollack, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

51006 Issued in MA

Practice address

33 Oak Ave
Worcester, MA 01605-2752

Phone

(508) 757-7300

Fax

(800) 757-0803

NPI assigned

Oct 25, 2005

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1871583450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST",
            "address_2": "SUITE 670",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081604",
            "telephone_number": "508-754-3566",
            "fax_number": "508-438-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052752",
            "telephone_number": "508-757-7300",
            "fax_number": "800-757-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "PHYLLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MA",
            "license": "51006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209885",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannine Poles
• Emma Polimeni
• Letterio Politi, MD
• Caterina Maria Polito
• Leo F Polizoti, PH.D.
• William Pollack, D.M.D.
• Coreen Esme Pollard-Waldron X, RN
• Maegan Marie Pollard, MD
• Rebecca Pollinger
• Jennifer Pollock, LMHC

• Pediatric Cardiology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Pediatric Cardiology Physician in Massachusetts

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