Individual provider Active NPI

Marjorie L Polhamus, RN

  • Case Management Registered Nurse
  • Springfield, OH
National Provider Identifier
1821933706
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
267181 Issued in OH
Practice address
637 South Center Street
Springfield, OH 45506
Phone
(937) 313-1117
NPI assigned
Apr 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 267181 OH Primary

Addresses

Primary practice location

637 South Center Street
Springfield, OH 45506

Mailing address

203 S State Route 48
Ludlow Falls, OH 45339-9796
Phone (937) 313-1117

Other practice location 1

5390 S Rangeline Rd
West Milton, OH 45383-9624
Phone (937) 313-1117

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
267181OHMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1821933706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S STATE ROUTE 48",
            "city": "LUDLOW FALLS",
            "state": "OH",
            "postal_code": "453399796",
            "telephone_number": "937-313-1117",
            "fax_number": "877-518-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 SOUTH CENTER STREET",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45506",
            "telephone_number": "937-313-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5390 S Rangeline Rd",
            "address_purpose": "LOCATION",
            "city": "West Milton",
            "state": "OH",
            "postal_code": "453839624",
            "country_code": "US",
            "telephone_number": "937-313-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLHAMUS",
        "first_name": "MARJORIE",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "267181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.