Edward S Polashenski DO PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

OS 004597 L

Legal business name

EDWARD S POLASHENSKI DO PC

Practice address

128 West 14TH St
Hazleton, PA 18201-3266

Phone

(570) 455-7677

Fax

(570) 455-7627

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Edward S Polashenski, DO FACOI

Title

President

Phone

(570) 455-7677

Specialties & licenses 4

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Robert Yamulla, MD

  • Gastroenterology Physician
  • Hazleton, PA
  • NPI 1376527655

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1871635458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 14TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013266",
            "telephone_number": "570-455-7677",
            "fax_number": "570-455-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WEST 14TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013266",
            "telephone_number": "570-455-7677",
            "fax_number": "570-455-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S POLASHENSKI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "POLASHENSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-455-7677",
        "authorized_official_credential": "DO FACOI"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "OS 004597 L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "MD 031594 E",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": "OS 004597 L",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": "MD 031594 E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "182462",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010850580001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "122500",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010140830002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Raymond Dougherty
• Jennifer Lynn Drake, DNP, CRNP, NP-C
• Traci Lynn Duffield, PTA
• Olivia Dworak, PHARMD
• East Coast Radiation Oncology PC
• Aaron Matthew Eichhorst
• Elite Rehab Inc.
• Lenissa M Encarnacion
• ENT Surgical Associates, P.C.
• Evanko Respiratory, Inc

• Gastroenterology Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.