Active NPI
Iris Sandra Polinger, MD PHD
- Dermatology Physician
- Stafford, TX
National Provider Identifier
1770570111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E811T
- Practice address
- 4915 S Main St
Ste 104
Stafford, TX 77477-4601 - Phone
- (281) 491-9278
- Fax
- (281) 491-3376
- NPI assigned
- Sep 30, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | E811T | TX | Primary |
Addresses
Primary practice location
4915 S Main St
Ste 104
Stafford, TX 77477-4601
Mailing address
4915 S Main St
Ste 104
Stafford, TX 77477-4601
Phone (281) 491-9278
Other names 1
- Mrs. Iris Sandra Polinger-Hyman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E811T | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Surgery Associates P.a. | Dermatology | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770570111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 S MAIN ST",
"address_2": "STE 104",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774601",
"telephone_number": "281-491-9278",
"fax_number": "281-491-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 S MAIN ST",
"address_2": "STE 104",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774601",
"telephone_number": "281-491-9278",
"fax_number": "281-491-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLINGER",
"first_name": "IRIS",
"middle_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "E811T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRIS",
"last_name": "POLINGER-HYMAN",
"middle_name": "SANDRA",
"prefix": "MRS.",
"credential": "MD PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.