Polaya Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4073 Issued in SC

Legal business name

POLAYA ANESTHESIA LLC

Practice address

201 74TH Ave N
Myrtle Beach, SC 29572-3832

Phone

(843) 251-8979

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Patricia Poole

Title

Owner

Phone

(843) 251-8979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1508221037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4860",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762698",
            "telephone_number": "843-651-2624",
            "fax_number": "843-491-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 74TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723832",
            "telephone_number": "843-251-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAYA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-251-8979"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "4073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damien Poet
• Lee Pohto, CCC-SLP
• Lyndsay Polanski
• Polaris Jack, Inc.
• Polaris Skin Diagnostics, LLC
• Thomas Alan Polen, MD
• Vjekoslav Marko Polic, M.D.
• Jennifer Theresa Poling, RN
• Taylor Harrison Polk, MD
• Misty Danelle Polston Whipkey, NP

• Certified Registered Nurse Anesthetist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.