Mark S Polin, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD040967E Issued in PA

Practice address

445 Wyoming Ave
Kingston, PA 18704-3601

Phone

(570) 714-2300

NPI assigned

Apr 8, 2006

Last updated

Jul 17, 2007By 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

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.

• Mark S. Polin, MD

  • Obstetrics & Gynecology Physician
  • Kingston, PA
  • NPI 1730201872
  NPD (past) Authorized official
• Wilkes Barre Hospital Company LLC

  dba Wilkes Barre General Hospital

  • Clinic/Center
  • Wilkes Barre, PA
  • NPI 1053554378
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1568425866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043601",
            "telephone_number": "570-714-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043601",
            "telephone_number": "570-714-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIN",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD040967E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierce Counseling Associates, P.C.
• Pinnacle Rehabilitation Associates PC
• Anthony F Pittelli, D.M.D.
• Platinum Health at River Run LLC (River Run Rehab and Nursing Center)
• Platinum Private Duty
• Todd Pope
• Amanda Marie Popko
• Vijay Kishore Prasad, MD
• Premier Home Medical Equipment Inc
• Robyn Price, LCSW

• Obstetrics & Gynecology Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.