Marina Poliakova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35077135 Issued in OH

Practice address

6803 Mayfield Rd
Suite 403
Mayfield HTS, OH 44124-2271

Phone

(440) 312-1969

Fax

(440) 312-1969

NPI assigned

Apr 21, 2006

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mpoliakova84931@direct.ccf.org

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

• Health First Primary Care LLC

  • Internal Medicine Physician
  • Mayfield HTS, OH
  • NPI 1336479401
  Authorized official Same address or phone
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)
• Cumberland Medical Center, Inc

  dba CMC Physician Group

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1053377812
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1114983970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 LARIMAR DR",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440955249",
            "telephone_number": "216-862-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 MAYFIELD RD",
            "address_2": "SUITE 403",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242271",
            "telephone_number": "440-312-1969",
            "fax_number": "440-312-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIAKOVA",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3867949",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2747237",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Phillips
• Physicians for Pulmonary & Critical Care Corp
• Eric Pierchowski
• Platinum Home & Community Mobility Corp. (Amelia Mobility & Wellness)
• Platinum Home Helper Services
• Michael J. Pollack, M.D.
• Darleane Pollard
• Prakash K Khandekar MD
• Sudhamani Prasad, MD
• Precision Medical Group Inc.

• Internal Medicine Physician in Mayfield HTS, OH
• Providers in Mayfield HTS, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.