Individual provider Active NPI

Craig Bradley Polifrone, DO

  • Obstetrics & Gynecology Physician
  • Akron, OH
National Provider Identifier
1922072032
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34-005022 Issued in OH
Practice address
1622 E Turkeyfoot Lake Rd
#301
Akron, OH 44312-5277
Phone
(330) 344-8565
Fax
(330) 896-7085
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34-005022 OH Primary

Addresses

Primary practice location

1622 E Turkeyfoot Lake Rd
#301
Akron, OH 44312-5277

Mailing address

1622 E Turkeyfoot Lake Rd
#301
Akron, OH 44312-5277
Phone (330) 344-8565

Other identifiers 4

IdentifierTypeStateIssuer
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
0792610MedicaidOH
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #

Other names 1

  • Bradley Polifrone Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-005022OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Obstetrics & Gynecology Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Internal Medicine of Akron Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cpolifrone376533@direct.ccf.org

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1922072032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD",
            "address_2": "#301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-344-8565",
            "fax_number": "330-896-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD",
            "address_2": "#301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-344-8565",
            "fax_number": "330-896-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIFRONE",
        "first_name": "CRAIG",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34-005022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0792610",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADLEY",
            "last_name": "POLIFRONE",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.