Individual provider Active NPI

Taryn Polio, PA-C

  • Medical Physician Assistant
  • Owensboro, KY
National Provider Identifier
1629747381
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3041 Issued in KY
Practice address
2780 Frederica St
Owensboro, KY 42301-5442
Phone
(270) 926-4100
Fax
(270) 648-4678
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA3041 KY Primary

Addresses

Primary practice location

2780 Frederica St
Owensboro, KY 42301-5442

Mailing address

2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 926-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206002232 KY Practitioner - Physician Assistant 2567869563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 926-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics & Sports Medicine Owensboro PSC CurrentSince Aug 23, 2022 Accepting new patients

Locations

2831 New Hartford Rd
Owensboro, KY 42303
Phone (270) 926-2131

2780 Frederica St
Owensboro, KY 42301
Phone (270) 926-4100

Interoperability endpoints

  • Direct secure messaging: taryn.polio.1@32846.direct.athenahealth.com
  • Direct secure messaging: tpoli@osmo1976.srs-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1629747381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015442",
            "telephone_number": "270-926-4100",
            "fax_number": "270-648-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015442",
            "telephone_number": "270-926-4100",
            "fax_number": "270-648-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIO",
        "first_name": "TARYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA3041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.