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NPI Code Detail

MEDICARE: ALLISON PATRICIA POLLOCK PA-C

MEDICARE: ALLISON PATRICIA POLLOCK PA-C
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
1363A00000XPhysician AssistantOA006303PA
2363A00000XPhysician AssistantMA064128PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11187306OTHERNCCPA

General Provider Information

NPI Number : 1447913561
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON PATRICIA POLLOCK PA-C
Provider Business Mailing Address
First Line : 5241 BUFFALO RD
Second Line :
City : ERIE
State : PA
Zip : 16510-2391
Country : US
Telephone Number : 814-877-7686
Fax Number : 814-877-7692
Provider Business Practice Location Address
First Line : 5241 BUFFALO RD
Second Line :
City : ERIE
State : PA
Zip : 16510-2391
Country : US
Telephone Number : 814-877-7686
Fax Number : 814-877-7692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2021
Last Update Date : 06/04/2026

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1598760159 — DEBORA J RADDER MD
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1568460467 — JOHN FOSTER ALMQUIST MD
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Directions to “ ALLISON PATRICIA POLLOCK PA-C” Practice Location

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