Richard S Polin PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD 25930 Issued in OR

Legal business name

RICHARD S POLIN PC

Practice address

24900 SE Stark St
Suite 208
Gresham, OR 97030-3355

Phone

(503) 666-8139

Fax

(503) 666-3434

NPI assigned

Oct 12, 2012

Last updated

Oct 12, 2012By 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

Dr. Richard Sanders Polin, MDNPI 1043373996

Title

Owner

Phone

(503) 666-8149

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Sanders Polin, MD

  • Neurological Surgery Physician
  • Clackamas, OR
  • NPI 1043373996
  Medicare reassignment NPD Authorized official
• Kenneth Sallas

  • Physician Assistant
  • Auburn, WA
  • NPI 1609956895

  OR

  Medicare reassignment
• Brian M. Bowen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Portland, OR
  • NPI 1093921975
  NPD
• Timothy James Mineo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Gresham, OR
  • NPI 1275730459
  NPD

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1942552062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25714",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972980714",
            "telephone_number": "503-666-8139",
            "fax_number": "503-666-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST",
            "address_2": "SUITE 208",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303355",
            "telephone_number": "503-666-8139",
            "fax_number": "503-666-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S POLIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "POLIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SANDERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-666-8149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD 25930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1043373996",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Ryan Rhodes, DPT
• Angela Rice, MT
• Mackenzie Rice
• Mary Rice, RDH
• Lori Janeen Rich, THW000003028
• Joshua Richardson, MT
• Matthew Crawford Richardson
• Nexus Nishae Richardson
• Ah-Mirah Denise Lucille Richmond, M.A.
• Erik Manuel Richmond, DMD

• Neurological Surgery Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Neurological Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.