Physician Assistant

Address: 840 Harrison Avenue, Menino Building, Boston, MA 02118

JAMI RYAN POLLARD (NPI# 1922655539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922655539
Entity Type Individual
Gender Male
Credential PA-C
Practice Address 840 Harrison Avenue
Menino Building
MA 02118
Practice Telephone 6176388609
Mailing Address 801 Albany St Fl Ground
MA 02119-2560
Certification Date 2020-12-16
Enumeration Date 2019-08-20
Last Update Date 2020-12-16
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
1400 Vfw Pkwy, West Roxbury, MA 021324927 6173237700
725 Albany Street, Shapiro 3 Suite A, Boston, MA 02118 6174144861

Physician Overview

PECOS Associate Control (PAC) ID 5991135329
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20200424002478
First Name JAMI
Middle Name RYAN
Location 1 Boston Medical Ctr Pl, Boston, MA 02118-2908
Phone Number 6176388605
Graduation Year 2019
Group Practice PAC ID 9830183763
Number of Group Practice Members 62

Office Location

Street Address 840 HARRISON AVENUE
State MA
Zip Code 02118

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1992396477 Lisa R Lee Counselor Bay Cove Ucc, 85 E Newton Street, Boston, MA 02118 2021-01-28
1649870023 Carlos E Salazar Counselor · Addiction (Substance Use Disorder) Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist · Pediatric Dentistry 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker · Clinical 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist · Periodontics Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
Find all providers in zip 02118

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891385340 Wilson Situ 888 Washington St Apt 1003, Boston, MA 02111-1436 2021-01-19
1205435393 Allison Lee Nocon 289 Beacon St Apt 8, Boston, MA 02116-1263 2020-10-20
1336746775 Lee T Gernon-Lakin 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1639781230 Amanda Mae Saxton 1410 Columbia Rd Apt 8g, Boston, MA 02127-4016 2020-08-17
1336757137 Sabrina J Jamiel 144 Calumet St Apt 3, Boston, MA 02120-3378 2020-07-17
1902420284 Rebecca Lee 89 Chester St Apt A5, Boston, MA 02134-2219 2020-06-03
1982239430 Catherine Dam 357 Commercial St Apt 420, Boston, MA 02109-1236 2020-03-05
1033742390 Melissa Stathas 32 Fruit St Bldg 5th, Boston, MA 02114-2620 2020-02-14
1831740448 Jennifer Hughes 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1275184905 Danielle Dacunha 42 Worcester Sq Apt 10, Boston, MA 02118-2920 2019-09-24
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Dataset Information

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.