Active NPI
William E Polley Jr Inc
- Adult Day Care Clinic/Center
- Fairlawn, OH
National Provider Identifier
1831378124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- WILLIAM E POLLEY JR INC
- Practice address
- 3094 W Market St
Fairlawn, OH 44333-3626 - Phone
- (330) 867-1205
- Fax
- (330) 867-1259
- NPI assigned
- Nov 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William E Polley Jr., MD
- Title
- Pres
- Phone
- (330) 867-1205
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3094 W Market St
Fairlawn, OH 44333-3626
Mailing address
3094 W Market St
Fairlawn, OH 44333-3626
Phone (330) 867-1205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2890 Sand Run Pkwy
Ste A
Fairlawn, OH 44333
Phone (330) 836-0135
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fairlawn, OH
- NPI 1588683650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1831378124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3094 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333626",
"telephone_number": "330-867-1205",
"fax_number": "330-867-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3094 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333626",
"telephone_number": "330-867-1205",
"fax_number": "330-867-1259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM E POLLEY JR INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "POLLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "330-867-1205",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.