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POLARIS PARKWAY INTERNAL MEDICINE & PEDIATRICS LTD NPI 1700948155


NPI Information

NPI: 1700948155
Provider Name: POLARIS PARKWAY INTERNAL MEDICINE & PEDIATRICS, LTD
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 36D0994008

Address:
110 POLARIS PKWY
SUITE 250
WESTERVILLE, OH
ZIP 43082
Phone: (614) 865-4800
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POLARIS PARKWAY INTERNAL MEDICINE & PEDIATRICS, LTD is an adolescent medicine internal medicine in Westerville, OH. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. POLARIS PARKWAY INTERNAL MEDICINE & PEDIATRICS, LTD NPI is 1700948155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 POLARIS PKWY
SUITE 250
WESTERVILLE, OH
ZIP 43082-024
Phone: (614) 865-4800
Fax: (614) 865-4900

The provider's authorized official is Arriann Council .
The authorized official title is Office Manager and has the following contact phone number (614) 865-4800.

The CLIA number assigned to this NPI record is 36D0994008 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 10/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0000XInternal MedicineAdolescent MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I39741MEDICARE UPINOHIO
2G08792MEDICARE UPINOHIO
3G13114MEDICARE UPINOHIO

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: 4/28/2024

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