John E Polin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01031593A Issued in IN

Practice address

3801 Bellemeade Ave
Suite 200C
Evansville, IN 47714-0100

Phone

(812) 485-1797

Fax

(812) 485-1713

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Physicians' Health Group, LLC

  dba Multicare Specialty Group

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1427026848
  NPD (past)
• Physicians' Health Group, LLC

  dba Bellemeade Internal Medicine

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1730157355
  NPD (past)
• St. Mary'S Health, Inc

  dba Ascension St. Vincent Evansville

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287
  NPD (past)
• St. Mary'S Physicians' Health Group, LLC

  dba Haubstadt Family Medicine

  • Family Medicine Physician
  • Haubstadt, IN
  • NPI 1306130109
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1912984295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 200C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1797",
            "fax_number": "812-485-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 200C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1797",
            "fax_number": "812-485-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIN",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01031593A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000245661",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110245034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONLEY & CO.",
            "identifier": "04367929402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "130227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "043679294006",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100358040",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "068094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Plutino, OTR
• Carrie Poag, MS, OTR
• Paul K Pogue, DDS
• Shanna N Pogue, OTR
• David Poldneff, MD
• Michael Christian Polio, DMD
• Christopher Politano
• Peggy Lee Politano, COTA
• Lori Sue Polk, P.T.A.
• Chaovanee Poosuthasee, M.D.

• Internal Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.