MEDICARE: DR. MATTHEW E POLLARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	0101234693	VA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	MD.44016	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	A15295A	OTHER	AL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407846728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW E POLLARD M.D.

Provider Business Mailing Address
First Line	:	3145 ROCKS FARM CT
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22903-9323
Country	:	US
Telephone Number	:	434-466-2346
Fax Number	:

Provider Business Practice Location Address
First Line	:	4351 E LOHMAN AVE STE 301
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8262
Country	:	US
Telephone Number	:	434-466-2346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	01/05/2023

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Directions to “ DR. MATTHEW E POLLARD M.D.” Practice Location

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