Individual provider Active NPI

Katy Polasky, PA-C

  • Physician Assistant
  • North Canton, OH
National Provider Identifier
1912321696
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003901 Issued in OH
Practice address
7442 Frank Ave NW
North Canton, OH 44720-7022
Phone
(330) 305-0838
Fax
(330) 491-2048
NPI assigned
Feb 14, 2014
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003901 OH Primary

Addresses

Primary practice location

7442 Frank Ave NW
North Canton, OH 44720-7022

Mailing address

7442 Frank Ave NW
North Canton, OH 44720-7022
Phone (330) 305-0838

Other identifiers 1

IdentifierTypeStateIssuer
099716MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001818 OH Practitioner - Physician Assistant 6709017569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4449 Whipple Ave NW
Canton, OH 44718-2645
Phone (330) 453-6050

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
74.6
Promoting interoperability
70
Improvement activities
40
Cost
84.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003901OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Ohio PA Co CurrentSince Oct 21, 2025 Accepting new patients
Orthounited, Inc. CurrentSince Mar 1, 2014 Accepting new patients
Orthounited, Inc. Physician Assistant CurrentSince Mar 1, 2014 Accepting new patients

Locations

2600 Tuscarawas St W
Ste 300
Canton, OH 44708
Phone (330) 455-0581

4449 Whipple Ave NW
Canton, OH 44718
Phone (330) 453-6050

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

7730 First Pl
Ste D
Oakwood Vlg, OH 44146
Phone (440) 735-0438

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1912321696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7442 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207022",
            "telephone_number": "330-305-0838",
            "fax_number": "330-491-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7442 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207022",
            "telephone_number": "330-305-0838",
            "fax_number": "330-491-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLASKY",
        "first_name": "KATY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099716",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.