Cezar San Jose Polido, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN093449 Issued in OH

Practice address

4380 Malsbary Rd
Blue Ash, OH 45242-5644

Phone

(513) 793-6444

NPI assigned

Feb 3, 2015

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1821488560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RHEA AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132950",
            "telephone_number": "513-889-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 MALSBARY RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425644",
            "telephone_number": "513-793-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIDO",
        "first_name": "CEZAR",
        "middle_name": "SAN JOSE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN093449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda S. Pinson, LPCC-S
• Adam Pirie
• Joseph W Piwoszkin, D.C.
• Podiatry Inc
• Lindsey Marie Poe
• Judi Pollak, MSOTR/L
• Gary L. Pollock, LPCC-S
• Emily Porter, LISW
• Roberta Therese Portzline, LISW
• Marchelle Denise Posey, LPCC

• Licensed Practical Nurse in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.