DR. ELLIOT S POLLACK (NPI# 1073542312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073542312 |
| Entity Type | Individual |
| Full Name | DR. ELLIOT S POLLACK |
| Credential | D.P.M. |
| Practice Address |
133 Hartford Ave East Granby CT 06026-9519 |
| Practice Telephone | 8606534708 |
| Practice Fax Number | 8606536249 |
| Mailing Telephone | 8606534708 |
| Mailing Fax Number | 8606536249 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000144 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | TAX ID | 0610129323 | 01 |
| CT | MEDICARE DME | 0869800001 | 01 |
| CT | MEDICARE DME | 0869800002 | 01 |
| Street Address |
133 HARTFORD AVE |
| City | EAST GRANBY |
| State | CT |
| Zip Code | 06026-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174811160 | Rosa Noda-clark | Dental Hygienist | 1 Chelsea Ln, East Granby, CT 06026 | 2011-07-12 |
| 1346366945 | Petra Irmgard Mursch | Chiropractor | 56a Rainbow Road, East Granby, CT 06026 | 2007-03-22 |
| 1851456743 | Ellen Farmer Lanctot | Chiropractor | 19 South Main St, East Granby, CT 06026 | 2006-12-22 |
| 1891855573 | Kathleen J Armata | Counselor | 59-61 Rainbow Road, East Granby, CT 06026 | 2006-12-11 |
| 1417312943 | Coleen Sutherland | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2015-12-29 |
| 1295038446 | Christine Noelle Levine | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2010-12-09 |
| 1275630402 | Robert L Gordon | Dentist | 11 S Main St, East Granby, CT 06026 | 2006-09-20 |
| 1760469829 | David R Howlett | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1528045697 | Jeannie M Crabtree | Nurse Practitioner | 13 Church St, East Granby, CT 06026-0518 | 2005-12-29 |
| 1326105958 | Anne M Reiher | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2007-01-02 |
| Find all providers in zip 06026 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST GRANBY |
| Zip Code | 06026 |
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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.