Charles G Polsen MD PA

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

J2902 Issued in TX

Legal business name

CHARLES G POLSEN MD PA

Practice address

2622 Marina Bay Dr
League City, TX 77573

Phone

(281) 538-6600

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Charles Polsen III, MD

Title

Owner

Phone

(281) 538-6600

Specialties & licenses 1

Addresses

Tax ID family

Charles G Polsen MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charles Polsen MD PA LLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • League City, TX
  • NPI 1659645083
  NPD tax ID

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1235461112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 MARINA BAY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-538-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 MARINA BAY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-538-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G POLSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "POLSEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-538-6600",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "J2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karizel E Chapman Sanchez, M.S.
• Carolyn Chapman
• Marines Paredes Chapman, APRN, FNP-C
• Victoria Chapman
• Jennifer Lee Chargois
• Charles Polsen MD PA LLC
• Jennifer Chen, PHARM. D, RPH
• Kimberly Mae Chen, FNP-C
• Su Chen, FNP-C
• Lindsey Chesson

• Surgery of the Hand (Surgery) Physician in League City, TX
• Providers in League City, TX by specialty
• Surgery of the Hand (Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.