Polam & Associates, PC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

038348L Issued in PA

Legal business name

POLAM & ASSOCIATES, PC

Practice address

121 Freeport Rd Ste 200
Blawnox, PA 15238-3485

Phone

(412) 784-7180

Fax

(412) 784-7185

NPI assigned

Apr 7, 2009

Organization subpart

Yes

Parent organization

POLAM & ASSOCIATES, PCAs reported in NPPES

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

Authorized official

Name

Dr. Chandra R Polam, MDNPI 1871552232

Title

Owner

Phone

(412) 784-7180

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Polam and Associates PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandra R Polam, MD

  • Cardiovascular Disease Physician
  • Blawnox, PA
  • NPI 1871552232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1841433885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FREEPORT RD STE 200",
            "city": "BLAWNOX",
            "state": "PA",
            "postal_code": "152383485",
            "telephone_number": "412-784-7180",
            "fax_number": "412-784-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FREEPORT RD STE 200",
            "city": "BLAWNOX",
            "state": "PA",
            "postal_code": "152383485",
            "telephone_number": "412-784-7180",
            "fax_number": "412-784-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAM & ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POLAM & ASSOCIATES, PC",
        "enumeration_date": "2009-04-07",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "POLAM",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-784-7180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "038348L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "038348L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000915209004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009152090004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PO464345",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Geller, MD
• Lifecor, Inc.
• M Varindani PC
• Mark J. Geller, MD, LLC
• Meghan Minnock
• Chandra R Polam, MD
• Q Pharma Inc
• Asha Raman, MD
• Natalie Spangler, DPT
• Trevor Sutch, DPT

• Interventional Cardiology Physician in Blawnox, PA
• Providers in Blawnox, PA by specialty
• Interventional Cardiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.