Active NPI
William J Polk, MD,PA
- Geriatric Psychiatry Physician
- Chevy Chase, MD
National Provider Identifier
1306161542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- WILLIAM J POLK, MD,PA
- Practice address
- 5480 Wisconsin Ave
Suite 421
Chevy Chase, MD 20815-3530 - Phone
- (301) 656-6644
- Fax
- (301) 215-7615
- NPI assigned
- Mar 31, 2010
- Last updated
- Mar 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William J Polk, MD
- Title
- President
- Phone
- (301) 656-6446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | NU | Primary |
Addresses
Primary practice location
5480 Wisconsin Ave
Suite 421
Chevy Chase, MD 20815-3530
Mailing address
5480 Wisconsin Ave
Suite 421
Chevy Chase, MD 20815-3530
Phone (301) 656-6644
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Chevy Chase, MD
- NPI 1598809543
-
- Clinical Social Worker
- Chevy Chase, MD
- NPI 1346394038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1306161542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "SUITE 421",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-656-6644",
"fax_number": "301-215-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "SUITE 421",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-656-6644",
"fax_number": "301-215-7615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J POLK, MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "POLK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-656-6446",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.