Polaris Medical Group LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

POLARIS MEDICAL GROUP LLC

Practice address

13236 N 7TH St
Ste 4-255
Phoenix, AZ 85022-5343

Phone

(602) 628-1234

Fax

(602) 324-4991

NPI assigned

May 13, 2008

Last updated

Jun 26, 2009By 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

Abhay Padgaonkar

Title

Ceo

Phone

(602) 628-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Thomas C Ly, MD

  • Family Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1891007787
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1447427018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13236 N 7TH ST",
            "address_2": "STE 4-255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225343",
            "telephone_number": "602-628-1234",
            "fax_number": "602-324-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13236 N 7TH ST",
            "address_2": "STE 4-255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225343",
            "telephone_number": "602-628-1234",
            "fax_number": "602-324-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "PADGAONKAR",
        "authorized_official_first_name": "ABHAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-628-1234"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335862",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Poisson, MN,FNP-C
• Carolyn R Pokorney, RN
• Arlene Polakof, DPM
• Michael Ervin Polakowski
• Joan Marie Polansky, PH.D.
• Delia Mae Poleahla, RN.
• Elizabeth Polen, LPC
• Jack Nathan Poles, M.D.
• Sharon L Polintan, P.T.
• Polite Canoe Therapy and Wellness, PLLC

• Hospitalist Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hospitalist Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.