MR. MICHAEL POLOMIK (NPI# 1497131619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497131619 |
Entity Type | Individual |
Full Name | MR. MICHAEL POLOMIK |
Credential | CPED, CFO |
Practice Address |
1031 W Williams St Suite 104 Apex NC 27502-3955 |
Mailing Address |
412 Trappers Run Dr Cary NC 27513-4833 |
Practice Telephone | 9192675284 |
Enumeration Date | 2015-08-11 |
Last Update Date | 2016-11-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 224L00000X | Pedorthist | CPED4253 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1031 W WILLIAMS ST SUITE 104 |
City | APEX |
State | NC |
Zip Code | 27502-3955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376540112 | Brian Ray Forrest | Family Medicine | 1031 W Williams St, Suite 106, Apex, NC 27502-3955 | 2005-07-07 |
1538405154 | Ann Elizabeth Blankenship Clark | Dietitian, Registered | 1031 W Williams St, Apex, NC 27502-3955 | 2012-12-31 |
1457617623 | Atlantic Pain Consultants Pllc | Pain Medicine | 1031 W Williams St, Suite 102, Apex, NC 27502-3955 | 2012-04-02 |
1851668578 | Elisabeth Julie Murrell | Orthotist | 1031 W Williams St, Suite 104, Apex, NC 27502-3955 | 2011-11-23 |
1841501780 | Alma Furst | Physical Therapist | 1031 W Williams St, Suite 103, Apex, NC 27502-3955 | 2010-06-25 |
1215248471 | Kristen Eakes Reinhard | Physical Therapist | 1031 W Williams St, Suite 103, Apex, NC 27502-3955 | 2010-06-23 |
1114168473 | James Levi Del Bianco | Orthotist | 1031 W Williams St, Suite 104, Apex, NC 27502-3955 | 2009-03-17 |
1669632881 | Joel Daniel Kelly | Podiatrist | 1031 W Williams St, Suite 105a, Apex, NC 27502-3955 | 2008-06-11 |
1609052828 | Gina Marie Deggs | Specialist | 1031 W Williams St, Ste. 104, Apex, NC 27502-3955 | 2008-01-17 |
1205021557 | Excel Physical Therapy, Inc | Physical Therapist | 1031 W Williams St, Ste. 103, Apex, NC 27502-3955 | 2007-09-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194283507 | Reframe Counseling Services, Pllc | Psychologist | 1140 Savannah Ridge Road, Suites 204-206, Holly Springs, NC 27502 | 2019-03-05 |
1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
1437622792 | Abdelbaky, Arbon, & Boes, Pllc | Dentist | 1460 Kelly Rd, Apex, NC 27502 | 2019-01-09 |
1245733815 | Sarah S. Barker, Dds, Pllc | Clinic/Center | 1481 Chapel Ridge Road, Suite 250, Apex, NC 27502 | 2018-03-09 |
1497257646 | Sogoal Feizi | Chiropractor | 320 N Salem St Ste 102, Apex, NC 27502 | 2018-03-04 |
1417492554 | Nc Eye Associates Od Pllc | Optometrist | 1429 Kelly Road, Apex, NC 27502 | 2016-12-28 |
1154872646 | Renaissance Dentistry | Dentist | 800 W Williams Street, Suite 240, Apex, NC 27502 | 2016-10-19 |
1871049130 | Kathryn Siddle | Pharmacist | Route 940 Us 64, Apex, NC 27502 | 2016-08-28 |
1538526744 | Zhen Li | Acupuncturist | 1011 W. Williams St., Suite 104, Apex, NC 27502 | 2016-01-19 |
1174909980 | Karen Kleber Williams | Speech-Language Pathologist | 5448 Apex Peakway # 261, Apex, NC 27502 | 2015-08-04 |
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Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.