ROY DANIEL POLLOM (NPI# 1043286305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043286305 |
| Entity Type | Individual |
| Full Name | ROY DANIEL POLLOM |
| Credential | MD |
| Practice Address |
8205 E 56th St Suite 100 Indianapolis IN 46216-1056 |
| Practice Telephone | 3176214044 |
| Practice Fax Number | 3176214050 |
| Mailing Telephone | 3176214044 |
| Mailing Fax Number | 3176214050 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2012-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01034723A | IN | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
01034723A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000342152 | 01 |
| IN | 100191590 | 05 | |
| IN | 200881880 | 05 |
| Street Address |
8205 E 56TH ST SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46216-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992790299 | Qin Wang-joy | Internal Medicine | 8205 E 56th St, Suite 250, Indianapolis, IN 46216-1003 | 2005-09-13 |
| 1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
| 1922546464 | Alyssa Price | Registered Nurse | 8205 E 56th St, Indianapolis, IN 46216-1003 | 2017-02-04 |
| 1215300892 | Denise Lynn Mann | Nurse Practitioner | 8205 E 56th St, Suite 250, Indianapolis, IN 46216-1003 | 2015-11-04 |
| 1508256504 | Lisa Marie Bell | Registered Nurse | 8205 E 56th St, Suite 100, Indianapolis, IN 46216-1003 | 2015-01-28 |
| 1841631637 | Rachel Ann Bednarek | Pharmacist | 8205 E 56th St, Suite 100, Indianapolis, IN 46216-1003 | 2013-07-10 |
| 1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
| 1073700423 | Kathryn E Mclaughlin | Physician Assistant | 8205 E 56th St, Suite 100, Indianapolis, IN 46216-1056 | 2007-10-01 |
| 1164501672 | Samir Baroudi | Internal Medicine | 8205 E 56th St, Suite 250, Indianapolis, IN 46216-1003 | 2006-11-03 |
| 1942277827 | Bradley S Guill | Internal Medicine | 8205 E 56th St, Suite 100, Indianapolis, IN 46216-1056 | 2006-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
| 1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
| 1154307650 | City of Lawrence | Ambulance | 9001 E 59th St Ste 203, Indianapolis, IN 46216-1008 | 2005-12-16 |
| 1821076530 | Barbara J Walling | Nurse Practitioner | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-01-03 |
| Find all providers in zip 46216 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| 1306330980 | Brian Paul Wynia | Internal Medicine | 5122 Millwright Ct, Indianapolis, IN 46254-4786 | 2018-06-18 |
| 1053848457 | Hasan Rana | Internal Medicine | 8081 Township Line Rd Ste 202, Indianapolis, IN 46260-2189 | 2017-05-16 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1225581168 | Stepping Stone Institute, LLC | Internal Medicine | 5785 N Delaware St, Indianapolis, IN 46220-2527 | 2016-07-27 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1275985632 | Nour Hamade | Internal Medicine | 702 Rotary Circle, Suite 225, Indianapolis, IN 46202 | 2016-07-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.