Polestar Medical

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

POLESTAR MEDICAL

Practice address

5005 W Royal LN Ste 196
Irving, TX 75063-1959

Phone

(281) 346-3480

Fax

(281) 462-4106

NPI assigned

Jun 14, 2013

Last updated

Feb 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Kropholler

Title

Director

Phone

(254) 221-2900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1932547767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204476",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 W ROYAL LN STE 196",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631959",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLESTAR MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KROPHOLLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "254-221-2900"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PM Vitas LLC (Clinica La Familia)
• Podiatric Medical Partners of Texas, PA (Irving Foot and Ankle)
• Podiatric Medical Partners of Texas, PA (Southwest Podiatry, LLP)
• Kathryn Ann Poe, M.A., LPC
• Yin Nyein Poe
• Laura Polis
• Andrea Polk, CPHT
• Daniel Polk Jr., RRT
• Delara Pollman, APRN-CNP
• Amy Beth Poole, M.S. CCC-SLP

• Clinical Neurophysiology Physician in Irving, TX
• Providers in Irving, TX by specialty
• Clinical Neurophysiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.