MR. CHARLES POLLARD III (NPI# 1497164396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497164396 |
| Entity Type | Individual |
| Full Name | MR. CHARLES POLLARD III |
| Credential | R.N. |
| Practice Address |
1404 Nw 186th St Edmond OK 73012-6202 |
| Practice Telephone | 4059689266 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 87886 | OK | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
87886 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851435283 | Charles Russell Pollard | Family Medicine | 300 S Rath Ave, Suite 102, Ludington, MI 49431-3003 | 2007-02-18 |
| 1578627980 | Charles Alec Pollard | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2006-12-20 |
| 1538120563 | Charles W Pollard | Psychologist | 22 Mill St, Suite 004, Arlington, MA 02476-4784 | 2006-03-29 |
| Street Address |
1404 NW 186TH ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391797 | Pollard Family Health and Wellness, LLC | Clinic/Center | 1404 Nw 186th St, Edmond, OK 73012-6202 | 2020-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1568069185 | Ancie Madden | Nurse Practitioner | 153 Ledgemont Dr, Edmond, OK 73013-1693 | 2020-10-06 |
| 1932712973 | Katrina Michelle Todd | Nurse Practitioner | 3908 Lakeshire Ridge Ct, Edmond, OK 73034-1049 | 2020-08-28 |
| 1215554662 | Emily Kathyrn Cockrell | Nurse Practitioner | 133 Kimberly Dr, Edmond, OK 73003-2376 | 2020-07-01 |
| 1982226361 | Covid Busters, LLP | Nurse Practitioner | 1632 Camden Way, Edmond, OK 73013-2939 | 2020-05-08 |
| 1235759291 | Sara Elizabeth Lacy-antonelli | Nurse Practitioner | 311 S Rankin St, Edmond, OK 73034-5345 | 2020-04-20 |
| 1528608551 | Stacey Lynn Lowery | Nurse Practitioner | 16212 Scissortail Dr, Edmond, OK 73013-9422 | 2020-01-07 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1700447356 | Jeana Backus | Nurse Practitioner | 2017 W I 35 Frontage Rd Ste 170, Edmond, OK 73013-8558 | 2019-06-25 |
| 1366001315 | Kara Nicole De La Pena | Nurse Practitioner | 1501 N Midwest Blvd, Edmond, OK 73034-8412 | 2019-06-12 |
| Find all providers in EDMOND | ||||
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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.