Stephan Nicholas Polansky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08098 Issued in TX

Practice address

615 Main St Ste 104
Frisco, TX 75036-4313

Phone

(469) 200-5477

NPI assigned

Oct 25, 2012

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

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcspolan@yourcarecommunity.org

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.

• Myfitmed Provider PLLC

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1952952533
  NPD

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1841543980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MAIN ST STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364313",
            "telephone_number": "469-200-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN ST STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364313",
            "telephone_number": "469-200-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKY",
        "first_name": "STEPHAN",
        "middle_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pmi Wellness Group PLLC
• Podiatric Medical Partners of Texas, PA
• Podiatric Medical Partners of Texas, PA
• Katherine Poe
• Novalee Polanco
• Amber Polizzi, DC
• Sarah Pollard
• Pomtherapy Mental Health & Wellness
• Javier Ponciano, DPT
• Karla Ponder

• Physician Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.