Individual provider Active NPI

Carmen Polanco Santos

  • Endocrinology, Diabetes & Metabolism Physician
  • Uniontown, OH
National Provider Identifier
1831531052
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.132748 Issued in OH
Practice address
1946 Town Park Blvd Ste 330
Uniontown, OH 44685
Phone
(330) 896-5077
Fax
(330) 899-8805
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35.132748 OH Primary

Addresses

Primary practice location

1946 Town Park Blvd Ste 330
Uniontown, OH 44685

Mailing address

1946 Town Park Blvd Ste 330
Uniontown, OH 44685-8372
Phone (330) 896-5077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820001343 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 5597080754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 12, 2019 Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1946 Town Park Blvd
Ste 330
Green, OH 44685
Phone (330) 896-5077

5001 Rockside Rd
Independence, OH 44131

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: cpolancosantos1233996@direct.ccf.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1831531052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 TOWN PARK BLVD STE 330",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858372",
            "telephone_number": "330-896-5077",
            "fax_number": "330-899-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 TOWN PARK BLVD STE 330",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "44685",
            "telephone_number": "330-896-5077",
            "fax_number": "330-899-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO SANTOS",
        "first_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.132748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.