VINCENT F POLVINALE CRNA NPI 1154376341

NPI Information

  • NPI: 1154376341
  • Provider Name: VINCENT F POLVINALE, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 4575 NORTH SHALLOWFORD ROAD
    DUNWOODY, GA
    ZIP 30338
  • Phone: (770) 454-4286

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NPI Details

Vincent F Polvinale, CRNA is a nurse anesthetist certified registered in Dunwoody, GA. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Vincent F Polvinale, CRNA NPI is 1154376341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA
ZIP 30338
Phone: (770) 454-4286
Fax: (770) 454-4065

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for nerve block and injection procedure, prone position (HCPCS:01992)
  • Anesthesia for lens surgery (HCPCS:00142)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Anesthesia for other procedure on nose and sinuses (HCPCS:00160)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 1/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredRN096241GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R81826MEDICARE UPIN
243ZCBVW16MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3000550624CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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