Active NPI
Lauren Nicole Polanin, PA-C
- Medical Physician Assistant
- South Abington Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA057799
- Practice address
- 1020 Northern Blvd
South Abington Township, PA 18411-2220 - Phone
- (570) 587-2290
- NPI assigned
- Oct 5, 2015
- Last updated
- Dec 28, 2017
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA057799 | PA | Primary |
Addresses
Primary practice location
1020 Northern Blvd
South Abington Township, PA 18411-2220
Mailing address
420 S Jackson St
Pottsville, PA 17901-3625
Phone (570) 621-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
5 Lakeview Dr
Moosic, PA 18507-2108
Phone (570) 558-2180
631 Northern Blvd
South Abington Township, PA 18411-9025
Phone (570) 587-2290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic GYN Onc | Past | Accepting new patients | |
| Humboldt Emergency Physicians LLC | Past | Accepting new patients |
Locations
174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030
226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030
425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474
100 N Academy Ave
Danville, PA 17822
560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304
42 N Main St
Pittston, PA 18640
Phone (570) 602-5610
420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000
3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054
1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290
631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920
1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279
10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 996-2700
809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700
35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072
1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422
Interoperability endpoints
- ldukmen137814@direct.geisinger.edu
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Mountain Top, PA
- NPI 1922392372
-
- Obstetrics Physician
- Wilkes Barre, PA
- NPI 1346208709
-
- Emergency Medicine Physician
- Pottsville, PA
- NPI 1568810406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1801266739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S JACKSON ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013625",
"telephone_number": "570-621-5000",
"fax_number": "570-622-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 NORTHERN BLVD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184112220",
"telephone_number": "570-587-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANIN",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA057799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Abington Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.