NPIMap

Individual provider Active NPI

William J Polinski, DO PHD FACC

  • Interventional Cardiology Physician
  • Ontario, OH
National Provider Identifier
1104897990
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
34.003540 Issued in OH
Practice address
715 Richland Mall
Ontario, OH 44906-3802
Phone
(419) 462-4600
Fax
(419) 462-4609
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center Inc 194 clinicians

Practice addresses (Care Compare)

24 E Whitney Ave
Shelby, OH 44875-1282
Phone (567) 247-0870

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 468-0505

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001613 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 4981642634 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34.003540OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Dec 1, 2013 Accepting new patients
Medcentral Professional Association Inc. Interventional Cardiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: wpolinski539420@direct.osumc.edu

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 34.003540 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

715 Richland Mall
Ontario, OH 44906-3802

Mailing address

700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 462-4600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0618086MedicaidOH

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address wpolinski539420@direct.osumc.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2021.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1104897990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455",
            "telephone_number": "419-462-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 RICHLAND MALL",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449063802",
            "telephone_number": "419-462-4600",
            "fax_number": "419-462-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINSKI",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "DO PHD FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "34.003540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0618086",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wpolinski539420@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "715 Richland Mall",
            "city": "Ontario",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

Verify at the official NPI Registry.