Organization Active NPI

Polaris Parkway Internal Medicine & Pediatrics, LTD

  • Adolescent Medicine (Internal Medicine) Physician
  • Westerville, OH
National Provider Identifier
1700948155
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
POLARIS PARKWAY INTERNAL MEDICINE & PEDIATRICS, LTD
Practice address
110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8024
Phone
(614) 865-4800
Fax
(614) 865-4900
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Mrs. Arriann Council
Title
Office Manager
Phone
(614) 865-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X Primary

Addresses

Primary practice location

110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8024

Mailing address

110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8024
Phone (614) 865-4800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1700948155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "SUITE 250",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-865-4800",
            "fax_number": "614-865-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "SUITE 250",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-865-4800",
            "fax_number": "614-865-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PARKWAY INTERNAL MEDICINE & PEDIATRICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "COUNCIL",
        "authorized_official_first_name": "ARRIANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-865-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • 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.