Individual provider Active NPI

Barry Steven Poliner, M.D.

  • Family Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1295841476
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME44802 Issued in FL
Practice address
33 Old Kings Rd N Ste 3
Palm Coast, FL 32137-8238
Phone
(386) 445-1100
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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 ME44802 FL Primary

Addresses

Primary practice location

33 Old Kings Rd N Ste 3
Palm Coast, FL 32137-8238

Mailing address

33 Old Kings Rd N Ste 3
Palm Coast, FL 32137-8238
Phone (386) 445-1100

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
I20100816000116 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 7618001462 Practice locations: Palm Coast, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barry S Poliner MD Family Medicine CurrentSince Oct 21, 1985 Accepting new patients

Locations

33 Old Kings Rd N
Ste 3
Palm Coast, FL 32137
Phone (386) 445-1100

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1295841476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OLD KINGS RD N STE 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378238",
            "telephone_number": "386-445-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OLD KINGS RD N STE 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378238",
            "telephone_number": "386-445-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINER",
        "first_name": "BARRY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME44802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.