Laurence B Polsky, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D0050213 Issued in MD

Practice address

975 Solomons Island Rd N
Prince Frederick, MD 20678-3917

Phone

(410) 535-5400

NPI assigned

Nov 15, 2006

Last updated

Jan 22, 2021By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Maryland School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calvert County Health DepartmentGroup PAC ID 7214188366, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Adult Mental Health Clinic/Center
  • Prince Frederick, MD
  • NPI 1609137918
  Medicare reassignment Care Compare group NPD
• Calvert County Health Department

  • Public Health or Welfare Agency
  • Prince Frederick, MD
  • NPI 1306114103
  Authorized official Same address or phone
• Calvert County Health Department

  dba Diabetes Prevention Program

  • Community Health Clinic/Center
  • Prince Frederick, MD
  • NPI 1740848423
  Authorized official Same address or phone
• Calvert County Health Department

  • Case Management Agency
  • Prince Frederick, MD
  • NPI 1811332430
  Authorized official Same address or phone
• Calvert County Health Department

  • Public Health or Welfare Agency
  • Prince Frederick, MD
  • NPI 1861761868
  Authorized official Same address or phone
• State of Maryland

  • Public Health or Welfare Agency
  • Prince Frederick, MD
  • NPI 1154345981
  Authorized official Same address or phone
• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lusby, MD
  • NPI 1346891025
  NPD
• Gynecology of St. Mary's

  • Gynecology Physician
  • Leonardtown, MD
  • NPI 1013192111
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1952473845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783917",
            "telephone_number": "410-535-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783917",
            "telephone_number": "410-535-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSKY",
        "first_name": "LAURENCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-01-22",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0050213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448960800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Platinum Therapeutics
• Pocket PT, LLC
• Meena Poddar, M.D.
• Barbara Steel Polak, RN
• Connor Elizabeth Polosky
• Paul V Pomilla, MD
• Nancy L Porter, LSWA
• Potomac Oral & Maxillofacial Surgery
• Carolyn B Potts, LCSW
• Stephen William Pournaras III, MD

• Obstetrics & Gynecology Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.