Saul S Polsky, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35044278 Issued in OH

Practice address

174 Mariners Way
Moyock, NC 27958-9049

Phone

(330) 730-7473

NPI assigned

Apr 11, 2006

Last updated

Oct 8, 2014By 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 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Carolina Em I Medical Services P C

  • Physician Assistant
  • Elizabeth City, NC
  • NPI 1255581443
  NPD (past)
• Waterway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Elizabeth City, NC
  • NPI 1487804670
  NPD (past)
• Center for Vascular Medicine LLC

  • Specialist
  • Greenbelt, MD
  • NPI 1386935781
  NPD (past)
• Erie Banks Emergency Physicians LLC

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1801105366
  NPD (past)
• Erie Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Oregon, OH
  • NPI 1831130335
  NPD (past)
• Louisiana Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1265488779
  NPD (past)
• Lucas County Emergency Physicians Inc

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1811998560
  NPD (past)
• Marion General Hospital Foundation, Inc.

  dba Marion General Hospital Foundation, Inc./Marion General Hospital

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1134114077
  NPD (past)
• Marion Physician Billing LLC

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1013247568
  NPD (past)
• Marysville Emergency Physicians Inc.

  • Emergency Medicine Physician
  • Marysville, OH
  • NPI 1649271594
  NPD (past)
• Middletown Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Franklin, OH
  • NPI 1932108784
  NPD (past)
• Ohio Em-I Medical Services, Professional Association

  • Physician Assistant
  • Willoughby, OH
  • NPI 1033429808
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1518920453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MARINERS WAY",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279589049",
            "telephone_number": "330-730-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MARINERS WAY",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279589049",
            "telephone_number": "330-730-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSKY",
        "first_name": "SAUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35044278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104808637",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451023",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000377165",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR LUCAS COUNTY",
            "identifier": "P00224439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LUCAS COUNTY",
            "identifier": "000000360690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104734159",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND RR MEDICARE# STCHRL",
            "identifier": "P00267939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Peterson
• Pink Ribbon Resource Center, Inc
• Diamond Platt
• Lorraine Pleasants
• Elizabeth Poland
• Vonda M Raines, FNP-C
• Dipes K Ray, M.D., MRCP
• Lisa Reed
• Tiffany Reyes
• Kaitlyn Richard

• Emergency Medicine Physician in Moyock, NC
• Providers in Moyock, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.