Organization Active NPI

Garry R Pollock, M.D., P.a.

  • Orthopaedic Hand Surgery Physician
  • Lubbock, TX
National Provider Identifier
1982753620
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
J0204 Issued in TX
Legal business name
GARRY R POLLOCK, M.D., P.A.
Practice address
4642 N Loop 289 Ste 105
Lubbock, TX 79416-2422
Phone
(806) 771-3030
NPI assigned
Jan 10, 2007
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Garry R Pollock, M.D.NPI 1164577672
Title
Owner
Phone
(806) 771-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X J0204 TX Primary

Addresses

Primary practice location

4642 N Loop 289 Ste 105
Lubbock, TX 79416-2422

Mailing address

4642 N Loop 289 Ste 105
Lubbock, TX 79416-2422
Phone (806) 771-3030

Other identifiers 4

IdentifierTypeStateIssuer
121644100OtherTXFIRSTCARE
122132704MedicaidTX
400000574OtherTXMEDICARE RAILROAD
8H1561OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000554 TX Part B Supplier - Clinic/Group Practice 9739112178 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

4642 N Loop 289
Ste 105
Lubbock, TX 79416
Phone (806) 771-3030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1982753620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289 STE 105",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162422",
            "telephone_number": "806-771-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289 STE 105",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162422",
            "telephone_number": "806-771-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY R POLLOCK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-771-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "J0204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "121644100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122132704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "400000574",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8H1561",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.