Active NPI
Pollyanna Lam, D.O.
- Pediatrics Physician
- Huntington, WV
National Provider Identifier
1972545101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4283
- Practice address
- 3075 US Route 60
Door D
Huntington, WV 25705-8859 - Phone
- (304) 399-4422
- Fax
- (304) 399-4433
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4283 | WV | Primary |
Addresses
Primary practice location
3075 US Route 60
Door D
Huntington, WV 25705-8859
Mailing address
1448 10TH Avenue
Suite 304
Huntington, WV 25701-3579
Phone (304) 691-6381
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pollyanna.lam@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4283 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc | Pediatrics | Current | Accepting new patients |
| University Physicians & Surgeons, Inc. | Current | Accepting new patients |
Locations
3075 US Route 60
#D
Huntington, WV 25705
Phone (304) 399-4422
1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300
1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381
Interoperability endpoints
- plam303301@direct.ochin.org
- pollyanna.lam@marshall.cernerdirect.com
Organizations & group practices 2
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
- Huntington, WV
- NPI 1730183286
Pediatrics
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1972545101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 10TH AVENUE",
"address_2": "SUITE 304",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013579",
"telephone_number": "304-691-6381",
"fax_number": "304-691-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 US ROUTE 60",
"address_2": "DOOR D",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257058859",
"telephone_number": "304-399-4422",
"fax_number": "304-399-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "POLLYANNA",
"name_prefix": "Ms.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "4283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pollyanna.lam@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "3075 US Route 60",
"address_2": "Door D",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257058859",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.