Michael David Polifka, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

158697 Issued in MA

Practice address

39 Sage Hill Rd
Torbank #23
Manchester Center, VT 05255

Phone

(413) 664-5000

NPI assigned

May 4, 2006

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

Practice roles

Locations

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.

• Greylock Pathology Partners, LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • North Adams, MA
  • NPI 1518283449
  NPD
• North Adams Regional Hospital

  • General Acute Care Hospital
  • North Adams, MA
  • NPI 1174547871
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1760430854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "413-664-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SAGE HILL RD",
            "address_2": "TORBANK #23",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "413-664-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIFKA",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "158697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Chriopractic and Acupuncture PLLC
• Clarke Douglas Paige, D.C., L.AC.
• Patricia M Patane, ATC, PT
• Ute S Patrick, OTR/L
• Peak Motion Physical Therapy
• Prospect Rehabilitation, PC
• Elizabeth Quincy, LCMHC
• Catherine Redlein, LICSW
• Leslie Ann Reed, PHD
• Thomas R Reif, R.PH.

• Emergency Medicine Physician in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Emergency Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.