Active NPI
Garry R Pollock, M.D., P.a.
- Orthopaedic Hand Surgery Physician
- Lubbock, TX
National Provider Identifier
1982753620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- J0204
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121644100 | Other | TX | FIRSTCARE |
| 122132704 | Medicaid | TX | |
| 400000574 | Other | TX | MEDICARE RAILROAD |
| 8H1561 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Hand Surgery Physician
- Lubbock, TX
- NPI 1164577672
-
- Hand Occupational Therapist
- Lubbock, TX
- NPI 1972652527
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.