Polaris Management Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42765 Issued in AZ

Legal business name

POLARIS MANAGEMENT GROUP LLC

Doing business as

SURGSYS LLC

Practice address

7301 E 2ND St
Suite 106
Scottsdale, AZ 85251-5600

Phone

(858) 699-0572

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sonja Wanebo, MD

Title

Manager

Phone

(858) 699-0572

Specialties & licenses 2

Addresses

Other names 1

• SURGSYS LLC Doing business as

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1104133446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852521598",
            "telephone_number": "858-699-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "858-699-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "WANEBO",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-699-0572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42765",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "42765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURGSYS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keren Israel Poirier, LCSW
• Utsav Pokharel
• Kelly Pokrywiecki, PA(ASCP)
• Kelly Anne Polak, NP
• Elyse Polanco, FNP-C
• Michelle Lee Polchow, RN
• Anthony Polechetti, DO
• Polished Holdings Inc
• Polished Holdings, Inc.
• Jennifer Dawn Polk, D.C.

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.