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DR. EDWARD PHILLIPS POLACK M.D. NPI 1811982671


NPI Information

NPI: 1811982671
Provider Name: DR. EDWARD PHILLIPS POLACK, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: WHEELING HOSPITAL INC

PECOS Registration: Yes

Address:
1 MEDICAL PARK
SUITE 704
WHEELING, WV
ZIP 26003
Phone: (304) 243-3134
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DR. Edward Phillips Polack, M.D. is a plastic and reconstructive surgery surgery in Wheeling, WV with 53 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Edward Phillips Polack, M.D. NPI is 1811982671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1971

The provider's business location address is:

1 MEDICAL PARK
SUITE 704
WHEELING, WV
ZIP 26003
Phone: (304) 243-3134
Fax: (304) 243-3834

The NPI 1811982671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)

The enumeration date for this NPI number is 9/16/2005 and was last updated on 6/3/2020.


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
12086S0105XSurgerySurgery of the Hand35047399OHIONo
22086S0105XSurgerySurgery of the Hand11955WEST VIRGINIANo
32086S0122XSurgeryPlastic and Reconstructive Surgery35047399OHIONo
42086S0122XSurgeryPlastic and Reconstructive Surgery11955WEST VIRGINIAYes

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
111955OTHERHMO
20114270000MEDICAIDWEST VIRGINIA
30415214MEDICAIDOHIO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.