Michael P Polsinelli, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3327 Issued in OH

Practice address

6501 Wilson Mills Rd Ste B
Mayfield Village, OH 44143-3442

Phone

(440) 461-9774

Fax

(440) 943-6716

NPI assigned

Apr 3, 2007

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 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• ASC Wellness LLC

  • Chiropractor
  • Mayfield Village, OH
  • NPI 1609353630
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1538280623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 WILSON MILLS RD STE B",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433442",
            "telephone_number": "440-461-9774",
            "fax_number": "440-943-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 WILSON MILLS RD STE B",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433442",
            "telephone_number": "440-461-9774",
            "fax_number": "440-943-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSINELLI",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "043727404-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PTAN",
            "identifier": "H674461",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM  AND BLUE CROSS",
            "identifier": "000000361033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Debbie Pesick-Caine, M.D.
• Scott G Peters, DPM
• Roman Petroff, MD
• Dana Michelle Pierce
• Podiatry Inc
• Samantha Popio, BCBA
• Michelle Price, PTA
• Progressive Casualty Insurance Company
• Kenneth Pross
• Dayna Kay Pudil, D.C.

• Chiropractor in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.