IRA POLLACK MD PC (NPI# 1427372994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427372994 |
Entity Type | Organization |
Organization Name | IRA POLLACK MD PC |
Practice Address |
1699 King Street Suite 208 Enfield CT 06082 |
Practice Telephone | 8607495881 |
Practice Fax Number | 8607762420 |
Mailing Telephone | 8607495881 |
Mailing Fax Number | 8607762420 |
Enumeration Date | 2010-03-26 |
Last Update Date | 2012-07-31 |
Authorized Official Name | IRA POLLACK (OWNER) |
Authorized Official Telephone | 8607495881 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
217519 | MA | Allopathic & Osteopathic Physicians |
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
041022 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 001410224 | 05 |
Street Address |
1699 KING STREET SUITE 208 |
City | ENFIELD |
State | CT |
Zip Code | 06082 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
Find all providers in zip 06082 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760459614 | Ira A Pollack | Psychiatry & Neurology | 1699 King St, Suite 208, Enfield, CT 06082-6051 | 2006-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
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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.