Organization Active NPI

Yourencore

  • Clinic/Center
  • Plainwell, MI
National Provider Identifier
1447652136
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301035231 Issued in MI
Legal business name
YOURENCORE
Practice address
308 Hyder Circle Dr
Plainwell, MI 49080-9587
Phone
(269) 204-6316
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Dr. Emery Charles Polasek Jr., M.D.
Title
Clinical Research Physician
Phone
(269) 204-6316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301035231 MI Primary

Addresses

Primary practice location

308 Hyder Circle Dr
Plainwell, MI 49080-9587

Mailing address

308 Hyder Circle Dr
Plainwell, MI 49080-9587
Phone (269) 204-6316

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1447652136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HYDER CIRCLE DR",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490809587",
            "telephone_number": "269-204-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HYDER CIRCLE DR",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490809587",
            "telephone_number": "269-204-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURENCORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "POLASEK",
        "authorized_official_first_name": "EMERY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CLINICAL RESEARCH PHYSICIAN",
        "authorized_official_telephone_number": "269-204-6316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301035231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.