Eugene Polmueller, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD041110L Issued in PA

Practice address

110 Middle Ridge Road
Hollidaysburg, PA 16648

Phone

(814) 937-9476

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metlakatla Indian Community

  dba Annette Islands Service Unit

  • Health Service Clinic/Center
  • Metlakatla, AK
  • NPI 1740294081
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1053692400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MIDDLE RIDGE ROAD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "16648",
            "telephone_number": "814-937-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MIDDLE RIDGE ROAD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "16648",
            "telephone_number": "814-937-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLMUELLER",
        "first_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0069125",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "0420011891",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "7155",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD041110L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Anthony Petroski, PH.D.
• Daniel David Picarella, ATC/LAT
• Mary Pine
• Joan A Plunkett, P.T.A.
• Patrick Pollock
• Peter Friery Pontzer, MD
• Lindsey Port
• John K Porta
• Presbyterian Homes in the Presbytery of Huntingdon (Presbyterian Home of Hollidaysburg)
• Sagayabama Rajakone, M.D

• Psychiatry Physician in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.