George Polanco

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5101010995 Issued in MI

Practice address

3037 Silverwood Dr
Saginaw, MI 48603-2171

Phone

(989) 753-9000

NPI assigned

Jan 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, TX, OK, NM4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Michigan State University College of Osteopathic Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians

Comanche County Hospital Authority Southwest RadiologyGroup PAC ID 7113082009, 17 clinicians

Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians

Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians

El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians

Anadarko Indian Health CenterGroup PAC ID 7719931559, 47 clinicians

Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Wewoka Indian HealthGroup PAC ID 7517911415, 43 clinicians

Albuquerque Indian Health CenterGroup PAC ID 7719883164, 55 clinicians

Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians

Pine Ridge Indian Health Service HospitalGroup PAC ID 4688571326, 107 clinicians

Zuni Indian HospitalGroup PAC ID 5698689644, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
• Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
• Northeastern Health System Hospital, Tahlequah, OK, CCN 370089
• Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
• Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

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.

• Anadarko Indian Health Center

  • Federal Public Health Clinic/Center
  • Anadarko, OK
  • NPI 1881637403

  TX

  Medicare reassignment Care Compare group NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment Care Compare group NPD
• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment Care Compare group NPD
• Clinton Indian Health Center

  • Federal Public Health Clinic/Center
  • Clinton, OK
  • NPI 1205923448

  TX

  Medicare reassignment Care Compare group NPD
• Comanche County Hospital Authority Southwest Radiology

  • Diagnostic Radiology Physician
  • Lawton, OK
  • NPI 1194996447

  MI

  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment Care Compare group NPD
• El Reno Indian Health Center

  • Public Health or Welfare Agency
  • El Reno, OK
  • NPI 1386725604

  TX

  Medicare reassignment Care Compare group NPD
• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223

  TX

  Medicare reassignment Care Compare group NPD
• Pawnee Indian Health Center

  • Clinic/Center
  • Pawnee, OK
  • NPI 1629174081

  TX

  Medicare reassignment Care Compare group NPD
• Pine Ridge Indian Health Service Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment Care Compare group NPD
• Wewoka Indian Health

  • Community Health Clinic/Center
  • Wewoka, OK
  • NPI 1689664195

  TX

  Medicare reassignment Care Compare group NPD
• Zuni Indian Hospital

  • General Acute Care Hospital
  • Zuni, NM
  • NPI 1497843734

  TX

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  Care Compare affiliation
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Claremore, OK
  • NPI 1497568968

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1023512308

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Care Compare affiliation
• Integris Bass Baptist Health Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1144236571
  Care Compare affiliation
• Northeastern Health System

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Fort Gibson, OK
  • NPI 1013458652

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Addiction (Substance Use Disorder) Counselor
  • Tahlequah, OK
  • NPI 1689338519

  Hospital

  Care Compare affiliation
• Saint Francis Hospital Muskogee Inc

  • General Acute Care Hospital
  • Muskogee, OK
  • NPI 1386188837
  Care Compare affiliation

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1326019332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JEFFERSON AVE",
            "address_2": "SUITE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071267",
            "telephone_number": "989-753-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 SILVERWOOD DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032171",
            "telephone_number": "989-753-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101010995",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "5101010995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4370681",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert David Plummer, PHD
• Stephanie SZ Pobocik, PT, DPT
• Jade Morgan Pocock
• Mitchell Alan Pohl, DNP
• Taylor Jenae Poirier, OTRL
• Kathryn Elizabeth Polisano
• Jennifer Pollock, PHARMD, BCPS
• Jayden Polovina
• Savannah Polulak
• Jemima Polynice

• Diagnostic Radiology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.