RAPHAEL E. POLLOCK (NPI# 1083719694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083719694 |
| Entity Type | Individual |
| Full Name | RAPHAEL E. POLLOCK |
| Credential | M.D., PHD |
| Practice Address |
460 W 10th Ave Columbus OH 43210-1240 |
| Mailing Address |
700 Ackerman Rd Suite 570 Columbus OH 43202-1559 |
| Practice Telephone | 6142937171 |
| Practice Fax Number | 6142933465 |
| Mailing Telephone | 6142937171 |
| Mailing Fax Number | 6142933465 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
35121856 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | P01387015 | 01 |
| OH | 0088427 | 05 |
| Street Address |
460 W 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833934 | Zihai Li | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2005-09-29 |
| 1902412034 | Jaime Taibi | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-2500 | 2020-09-23 |
| 1902412349 | Anna Katherine Gantzer | Nurse Practitioner | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-21 |
| 1730794983 | Erica Fleshman | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-14 |
| 1417565961 | Kimberly Simpson | Social Worker | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-07-21 |
| 1003434663 | Maximillian Hugh Stevenson | Pharmacist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-07-10 |
| 1114549771 | Helen Barbis | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-05-17 |
| 1528680196 | Victoria Jane Skinner | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-05-17 |
| 1245852219 | Calli R. Fronk | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-05-13 |
| 1770105694 | Jayde M. Lively | Nurse Practitioner | 460 W 10th Ave, Columbus, OH 43210-1240 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962511998 | Bridget A. Oppong | Surgery | 1145 Olentangy River Rd Fl 3, Columbus, OH 43212-3117 | 2006-08-30 |
| 1932152162 | Edward Martin Jr. | Surgery | 300 W. 10th Avenue, Columbus, OH 43210 | 2006-05-18 |
| 1548259492 | Brenda Jeanne Sickle-santanello | Surgery | 170 Northwoods Blvd Ste 210, Columbus, OH 43235-4711 | 2005-10-13 |
| 1982602363 | William Gress Kraybill Jr. | Surgery | 300 W 10th Ave, Columbus, OH 43210-1280 | 2005-07-11 |
| 1124580204 | Jessica Desalvo | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2019-04-05 |
| 1952748261 | Alex Chun Kim | Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2013-05-28 |
| 1881913259 | Joal David Beane | Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2010-05-25 |
| 1144546763 | Jordan M Cloyd | Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2010-04-08 |
| 1275857120 | Aslam Ejaz | Surgery | 2050 Kenny Rd, Columbus, OH 43221 | 2010-03-22 |
| 1154564961 | Samilia Obeng-gyasi | Surgery | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2009-04-08 |
| Find all providers in COLUMBUS | ||||
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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.