Christian Polovich, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

8411 W Kingbird CT
Bentonville, AR 72713-2436

Phone

(479) 713-0078

NPI assigned

Jul 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Midwest Monitoring LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Springdale, AR
  • NPI 1134746084
  NPD
• Noble Elite Telemonitoring Services, LLC

  • Electrodiagnostic Medicine Physician
  • Springdale, AR
  • NPI 1205429826
  NPD (past)

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1295414027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720331205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 W KINGBIRD CT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727132436",
            "telephone_number": "479-713-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOVICH",
        "first_name": "CHRISTIAN",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia R Plume, MHPP
• Nicole Plummer, LCSW
• Jessica Pointer, RBT
• Sherry Pointer, MS, LPC, TTS
• Alicia Nichole Polk
• Erin Popejoy, PHD, LPC/S
• Ashley Porter
• Marymargaret Portera, MHPP
• Lauren Post
• Alexandra Nicole Powell, MHPP

• Electroneurodiagnostic Specialist/Technologist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Electroneurodiagnostic Specialist/Technologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.