Ronald Lavern Polhill Jr., CPNP, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704222452 Issued in MI

Practice address

701 South Lincoln St.
Bay City, MI 48708

Phone

(989) 895-9876

Fax

(989) 895-9780

NPI assigned

Sep 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Debbie Filek MD

  • Pediatric Adolescent Medicine Physician
  • Bay City, MI
  • NPI 1427172139
  NPD (past)
• Lincoln Street Pediatrics PLLC

  • Pediatric Adolescent Medicine Physician
  • Bay City, MI
  • NPI 1437692472
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1891204970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 N HURON RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486509509",
            "telephone_number": "989-879-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SOUTH LINCOLN ST.",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48708",
            "telephone_number": "989-895-9876",
            "fax_number": "989-895-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHILL",
        "first_name": "RONALD",
        "middle_name": "LAVERN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CPNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MI",
            "license": "4704222452",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704222452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Eve Pleasant
• Erin Pletcher
• Nadia Plude
• Matthew Pockrandt
• Terri Poletti
• Stephanie Popa
• Erin Popp, PTA
• Jennifer Ann Poppe
• Asia Avance Porter-Manzie
• Tiffany R Posey

• Pediatric Nurse Practitioner in Bay City, MI
• Providers in Bay City, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.