Michael Richard Podolinski, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019628 Issued in PA

Practice address

512 S Center Ave
New Stanton, PA 15672-9714

Phone

(724) 925-1199

NPI assigned

Nov 20, 2018

Last updated

Nov 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1427527308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 SHEFFIELD DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011746",
            "telephone_number": "724-875-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S CENTER AVE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156729714",
            "telephone_number": "724-925-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODOLINSKI",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF NURSING",
            "identifier": "SP019628",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James C.a. Mack, DDS
• New Stanton Chiropractic
• New Stanton Primary Care
• Orndoff Podiatry, P.C.
• Penn Residential, Inc.
• Ramesh P Patel MD
• Ristway Inc (New Stanton Pharmacy)
• Ristway Inc (New Stanton Pharmacy)
• Gina Marie Skinner, CRNP
• Travis Allen Todd, CRNP

• Family Nurse Practitioner in New Stanton, PA
• Providers in New Stanton, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.