Mark Alan Polson, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

8716 Barnett St
Manassas, VA 20110-4914

Phone

(703) 369-1117

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: mpolson32043@ehrdirect.uhhospitals.org

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1326274697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FORECASTLE TRL",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564324",
            "telephone_number": "703-485-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 BARNETT ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104914",
            "telephone_number": "703-369-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSON",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Jay Pocquette, DO
• Lisa Carolyn Poirier
• Polaris Mental Health Services
• Cristinia Natalia Perez Policarpio, M.D.
• Tiffany Polifko, M.T., BCBA, LBA
• Stephanie Pomy, OTR/L
• Ashley Ponce, BS, RN, OCN
• Sebastian Ponce
• David J Pope, PA
• Beverly Popek

• Surgical Physician Assistant in Manassas, VA
• Providers in Manassas, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.