Provider Demographics
NPI:1407846728
Name:POLLARD, MATTHEW E (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:E
Last Name:POLLARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3145 ROCKS FARM CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-9323
Mailing Address - Country:US
Mailing Address - Phone:434-466-2346
Mailing Address - Fax:
Practice Address - Street 1:4351 E LOHMAN AVE STE 301
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8262
Practice Address - Country:US
Practice Address - Phone:434-466-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234693207XS0117X
ALMD.44016207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL284825Medicaid
ALA15295AOtherMEDICARE
VA413777OtherSOUTHERN HEALTH
VAP00319320OtherMEDICARE PIN
VA186435OtherANTHEM SERVICES
VA610389700OtherDEPARTMENT OF LABOR
VA72313Medicaid
VA413777OtherSOUTHERN HEALTH
VA2141705OtherMAMSI/ALLIANCE
VA72313Medicaid