Michael Polomik, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CPO05202 Issued in NU

Practice address

1142 Shipyard Blvd
Wilmington, NC 28412-6439

Phone

(910) 350-0067

NPI assigned

Aug 11, 2015

Last updated

Aug 16, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1497131619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 DURANT CT E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126439",
            "telephone_number": "910-350-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOMIK",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": "CPO05202",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": "CPO05202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry J Politi, MD, MPH
• Jamee Dianna Pollard, LCSWA
• Hoke D Pollock, M.D.
• Hoke Ward Pollock, M.D.
• Kaeley Eddison Pollock
• Matej Polomsky, M.D.
• Tiera Pomeroy
• Ja'Niqua Pompey, LCMHCA, LCASA
• Amber Lynn Ponnett
• Kevin Ponnett, LPA

• Prosthetist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.