Robert C. Polite, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-007857 Issued in OH

Practice address

68 N High St
Building a, Suite 150
New Albany, OH 43054-8915

Phone

(614) 855-1115

Fax

(614) 855-9363

NPI assigned

May 20, 2006

Last updated

Sep 28, 2016By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.polite@mrs-oh.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Midwest Breast and Aesthetic Surgery, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Gahanna, OH
  • NPI 1205266095
  NPD (past)
• New Season of Ohio, LP

  dba New Season Columbus West

  • Methadone Clinic
  • Columbus, OH
  • NPI 1417576281
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1386698611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430040610",
            "telephone_number": "614-476-2272",
            "fax_number": "614-476-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N HIGH ST",
            "address_2": "BUILDING A, SUITE 150",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548915",
            "telephone_number": "614-855-1115",
            "fax_number": "614-855-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITE",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Pierce, LPC
• Andrew James Pizzico
• Plain Township (Plain Township Fire Department)
• Brittany Plouffe, CRNA
• Latonya Poindexter
• Katelyn Marie Pollock, PA-C
• Gregory Scott Prenger, D.C.
• Heather Marie Prenger, D.C,
• Kellie Prenslow, PT
• Christine M Prok, CRNA

• Family Medicine Physician in New Albany, OH
• Providers in New Albany, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.