Organization Active NPI

R.S.Polintan,M.D.,P.C.

  • Pediatric Orthopaedic Surgery Physician
  • Clearfield, PA
National Provider Identifier
1821201260
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
MD022179E Issued in PA
Legal business name
R.S.POLINTAN,M.D.,P.C.
Practice address
807 Turnpike Ave
Suite 120
Clearfield, PA 16830-1238
Phone
(814) 765-8590
Fax
(814) 765-5058
NPI assigned
May 8, 2007
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Rodolfo S PolintanNPI 1205811494
Title
MD
Phone
(814) 765-8590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X MD022179E PA Primary

Addresses

Primary practice location

807 Turnpike Ave
Suite 120
Clearfield, PA 16830-1238

Mailing address

807 Turnpike Ave
Suite 120
Clearfield, PA 16830-1238
Phone (814) 765-8590

Other identifiers 1

IdentifierTypeStateIssuer
0006788840001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1821201260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 TURNPIKE AVE",
            "address_2": "SUITE 120",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301238",
            "telephone_number": "814-765-8590",
            "fax_number": "814-765-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 TURNPIKE AVE",
            "address_2": "SUITE 120",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301238",
            "telephone_number": "814-765-8590",
            "fax_number": "814-765-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.S.POLINTAN,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "POLINTAN",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "814-765-8590"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "PA",
            "license": "MD022179E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006788840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.