Individual provider Active NPI

Mark D. Polsky, DO

  • Family Medicine Physician
  • Palm City, FL
National Provider Identifier
1265400709
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6275 Issued in FL
Practice address
2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone
(772) 324-9337
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6275 FL Primary

Addresses

Primary practice location

2351 SW Martin Hwy
Palm City, FL 34990-3222

Mailing address

2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 324-9337

Other practice location 1

2339 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 222-5302

Other identifiers 2

IdentifierTypeStateIssuer
80656OtherFLBCBS
119193400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20031121000168 FL Practitioner - Family PracticePractitioner - Emergency Medicine 8527962596 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access 365 Urgent Care LLCGroup PAC ID 9830468727, 8 clinicians
Back in Action Medical Center LLCGroup PAC ID 7810272473, 12 clinicians

Practice addresses (Care Compare)

2339 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 222-5302

2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 324-9337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Medical Center LLC CurrentSince Aug 17, 2022 Accepting new patients
Access 365 Urgent Care LLC CurrentSince Aug 17, 2022 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Dec 31, 2012 Accepting new patients
Pinnacle Rehabilitation Group CurrentSince Mar 1, 2020 Accepting new patients
Back in Action Medical Center LLC CurrentSince Aug 17, 2022 Accepting new patients
Turtle Run Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Harder Emergency Physicians Emergency Medicine Past Accepting new patients
Martin Memorial Medical Center Inc Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2351 SW Martin Hwy
Palm City, FL 34990
Phone (772) 324-8337

2339 SW Martin Hwy
Palm City, FL 34990
Phone (772) 222-5302

1070 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 408-9434

1066 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 324-9337

1680 SE Lyngate Dr
Ste 204
Port St Lucie, FL 34952
Phone (772) 222-5411

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDCACD/Endpoint/EDCACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBABD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1265400709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903222",
            "telephone_number": "772-324-9337",
            "fax_number": "772-324-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903222",
            "telephone_number": "772-324-9337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2339 SW Martin Hwy",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349903222",
            "country_code": "US",
            "telephone_number": "772-222-5302",
            "fax_number": "772-210-0986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLSKY",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80656",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119193400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.