Jason Glenn Polk, BS, RRT, RCP

Primary specialty

Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X

License

57131 Issued in TX

Practice address

517 82ND St
Lubbock, TX 79404-6337

Phone

(806) 745-2551

Fax

(806) 745-5171

NPI assigned

Nov 28, 2007

Sex

Male

Sole proprietor

Yes

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

Bachelor of Science

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.

• Richard a Partin

  • Oxygen Equipment & Supplies (DME)
  • Lubbock, TX
  • NPI 1770516775
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1922280304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794046337",
            "telephone_number": "806-745-2551",
            "fax_number": "806-745-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794046337",
            "telephone_number": "806-745-2551",
            "fax_number": "806-745-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "JASON",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "BS, RRT, RCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "TX",
            "license": "57131",
            "primary": true
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "NM",
            "license": "2464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Rebecca-Franklin Poff, MS, RD, LD
• Ali M Pohlmeier
• Jordyn Lexi Poindexter
• Madhu Polimeru
• Avery Nicole Polk
• Robert F Polk III, OD
• Whitney Polk, PTA
• Cole Thomas Pollina, MD
• Garry Robert Pollock, M.D.
• Mika Polly, FNP

• Registered Respiratory Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Registered Respiratory Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.