DR. MATTHEW R. POLLACK, MD (NPI# 1437230364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437230364 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW R. POLLACK, MD |
| Credential | M.D. |
| Practice Address |
2 Medical Park Rd Suite 104 Columbia SC 29203-6875 |
| Mailing Address |
Po Box 22265 Belfast ME 04915-4473 |
| Practice Telephone | 8034346781 |
| Practice Fax Number | 8034348377 |
| Mailing Telephone | 8032967846 |
| Mailing Fax Number | 8032969699 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 28866 | SC | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
28866 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE ID | P00883441 | 01 |
| SC | PA4646 | 05 | |
| SC | 288664 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Medical Park Rd, Suite 104, Columbia, SC 292036875 | 8034346781 | 8034348377 |
| Street Address |
2 MEDICAL PARK RD SUITE 104 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383481 | Andrea Adams Sellers | Genetic Counselor, MS | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2005-11-18 |
| 1174070429 | Chay N Malvasio | Physician Assistant | 2 Medical Park Rd, Suite L9, Columbia, SC 29203 | 2016-09-03 |
| 1427501873 | Jaclyn Gravis | Nurse Practitioner | 2 Medical Park Rd, Suite 501, Columbia, SC 29203-6808 | 2016-08-02 |
| 1952784092 | Chad Schmidt | Specialist | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2015-07-07 |
| 1083013593 | Katie Coulter | Specialist/Technologist | 2 Medical Park Rd, Suite 104, Columbia, SC 29203-6808 | 2014-08-20 |
| 1053729905 | Whitney Dobek | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-23 |
| 1861809162 | Emily Olivia Rosebrough Jordon | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-18 |
| 1992042360 | Jessica Alexis Koller | Physical Medicine & Rehabilitation | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2013-01-05 |
| 1497013643 | Katherine Meriwether Hartley | Social Worker | 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6808 | 2012-04-25 |
| 1245471895 | Karen L Edwards | Specialist/Technologist | 2 Medical Park Rd, Lower Level, Columbia, SC 29203-6808 | 2009-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689960171 | Nathan Lee Granneman | Family Medicine | 200 Corporate Lake Dr, Columbia, MO 65203-7172 | 2011-06-22 |
| 1376742411 | Jeffrey P Holloway | Family Medicine | 9 Medical Park, Suite 200-a, Columbia, SC 29203-6878 | 2007-07-17 |
| 1508876434 | Andrew Thomas Mcgown | Family Medicine | 2 Medical Park Rd Ste 104, Columbia, SC 29203-6839 | 2006-08-09 |
| 1013951250 | Christopher D. Farmer | Family Medicine | 1 S Keene St, Columbia, MO 65201-7199 | 2006-06-16 |
| 1447244330 | Matt E Thornburg | Family Medicine | 1 S Keene St, Columbia, MO 65201-7199 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513199 | Pain Treatment Centers LLC | Family Medicine | 505 W Palmetto St, Florence, SC 29501-4427 | 2018-03-29 |
| 1821512302 | Arcis Healthcare, LLC | Family Medicine | 1951 Clements Ferry Rd Ste 100, Charleston, SC 29492-7724 | 2017-07-27 |
| 1225331119 | Mona Med Group Inc | Family Medicine | 8484 Dorchester Rd, Charleston, SC 29420-7319 | 2010-12-14 |
| 1629138698 | Andrew William Torrance | Family Medicine | 211 High Gate Loop, Aiken, SC 29803-3921 | 2006-12-11 |
| 1619945615 | Brian N. Anderson | Family Medicine | 81 Main Street, Hilton Head, SC 29926 | 2006-03-08 |
| 1629041009 | Mcleod Physician Associates II | Family Medicine | 2437 Willwood Dr, Florence, SC 29501-3904 | 2006-02-08 |
| 1821089434 | Hilton Head Sports Medicine | Family Medicine | 22 Bethea Dr, Hilton Head Island, SC 29926-4702 | 2005-11-02 |
| 1104812874 | David M. Jenkinson | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2005-09-27 |
| 1164414926 | Wayne Franklin Sease Jr. | Family Medicine | 315 Medical Pkwy, Suite 100, Greer, SC 29650-2456 | 2005-08-18 |
| 1124535547 | Emma O'keefe | Family Medicine | 1115 College Dr, Gaffney, SC 29340-3778 | 2018-01-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MATTHEW R. POLLACK, MD.
| 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.