Pathfinder Medical Consulting, LLC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

PATHFINDER MEDICAL CONSULTING, LLC

Doing business as

MedX Genetic Services

Practice address

9820 E 41St St Ste 301
Tulsa, OK 74146-3605

Phone

(918) 936-4295

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Michelle PolanNPI 1689835209

Title

Owner

Phone

(405) 862-7850

Specialties & licenses 1

Addresses

Other names 1

• MedX Genetic Services Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Barbara Polan, M.D.

  • Clinical Genetics (M.D.) Physician
  • Tulsa, OK
  • NPI 1689835209
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1790558229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 E 41ST ST STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 E 41ST ST STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463605",
            "telephone_number": "918-936-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER MEDICAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A",
        "authorized_official_last_name": "POLAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-862-7850"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedX Genetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ph.D. Medical Genetics in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ph.D. Medical Genetics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.