Polaris Medical Group PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

POLARIS MEDICAL GROUP PA

Practice address

1705 Lakeland Hills Blvd Ste 1
Lakeland, FL 33805-3061

Phone

(863) 688-6051

Fax

(938) 336-2587

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jaison Joseph Luke, APRN FNP-BCNPI 1184074759

Title

Vice President

Phone

(407) 729-4298

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Jaison Joseph Luke, ARNP

  • Family Nurse Practitioner
  • Lakeland, FL
  • NPI 1184074759
  Authorized official Same address or phone
• Sandra K. George, ARNP-BC

  • Adult Health Nurse Practitioner
  • Lakelamd, FL
  • NPI 1811357775
  NPD

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1386492726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 LAKELAND HILLS BLVD STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053061",
            "telephone_number": "863-688-6051",
            "fax_number": "938-336-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 LAKELAND HILLS BLVD STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053061",
            "telephone_number": "863-688-6051",
            "fax_number": "938-336-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "JOSEPH LUKE",
        "authorized_official_first_name": "JAISON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-729-4298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas F Plunkett, D.M.D.
• Marco Poblete, PT
• Poca on the Go Transportation Services LLC (Pocahontas McQueen)
• Kimberly Anne Pogue, OTR/L
• Kenley Pointer, PA
• Madhurya Polavarapu, MD
• Melissa Polisar, CRNA
• Polk Concierge Medical Group, LLC
• Polk County Board of County Commissioners (Lakeland Adult Day Care Center)
• Polk Emergency Group LLC

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.