Viarda Licelot Polanco Zacarias, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MMD 37947 MD Issued in SC

Practice address

113 Liner Dr
Greenwood, SC 29646-2311

Phone

(864) 941-8170

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: viarda.polanco.1@20723.direct.athenahealth.com

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.

• Eau Claire Cooperative Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1346249430

  Pediatrics, SC

  Medicare reassignment NPD
• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847

  SC

  Medicare reassignment NPD
• Self Regional Healthcare

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1326067703

  SC

  Medicare reassignment NPD
• Eau Claire Cooperative Health Center ,Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1588375653
  NPD
• Self Medical Group

  • Hematology & Oncology Physician
  • Greenwood, SC
  • NPI 1174842090
  NPD
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD
• Self Regional Healthcare

  • Pediatrics Physician
  • Greenwood, SC
  • NPI 1225838832

  Pediatrics

  NPD
• Self Regional Healthcare

  • Neurology Physician
  • Greenwood, SC
  • NPI 1285502559
  NPD
• Self Regional Healthcare

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1548068398
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1902202096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082909",
            "telephone_number": "803-405-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LINER DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462311",
            "telephone_number": "864-941-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Wells Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463843",
            "country_code": "US",
            "telephone_number": "864-943-4279",
            "fax_number": "864-223-2642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLANCO ZACARIAS",
        "first_name": "VIARDA",
        "middle_name": "LICELOT",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MMD 37947 MD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael X Piotrowski II, DO
• Brittany Pitts
• Cheryl Darlene Platt, PNP
• Sarah Beth Poag, RD, LDN
• Francisco A Polanco Zacarias, MD
• Emily Polatty, RN
• Jowanda Alish Polly, B.S.
• Poole Family Eye Care of Greenwood LLC
• Mitra Poorak, M.D.
• Jessica Powell Pope, NP

• All providers in Greenwood, SC
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.