Dr John D Polousky, MD | |
1 Perkins Sq, Akron, OH 44308-1063 | |
(330) 543-3500 | |
(330) 543-5001 |
Full Name | Dr John D Polousky |
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Gender | Male |
Speciality | Surgery |
Location | 1 Perkins Sq, Akron, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639285109 | NPI | - | NPPES |
353969401 | Medicaid | TX | |
353969403 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 35.139315 (Ohio) | Secondary |
208600000X | Surgery | 35.139315 (Ohio) | Primary |
Entity Name | Children's Hospital Medical Center Of Akron |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841328853 PECOS PAC ID: 0648183012 Enrollment ID: O20031111000484 |
Mailing Address | Practice Location Address |
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Dr John D Polousky, MD 1 Perkins Sq, Akron, OH 44308-1063 Ph: (330) 543-3500 | Dr John D Polousky, MD 1 Perkins Sq, Akron, OH 44308-1063 Ph: (330) 543-3500 |
Derek Cody, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3925 Embassy Parkway, Suite 300, Akron, OH 44333 Phone: 330-668-4065 Fax: 330-668-4082 | |
Dr. Mark L. Wulkan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-1000 | |
Evan Connor Kowalski, MD Surgery Medicare: Medicare Enrolled Practice Location: 141 N Forge St, Akron, OH 44304 Phone: 248-881-2591 | |
Sophia Horattas, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-6000 | |
Dennis Wright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Akron General Ave, #3500, Akron, OH 44307 Phone: 330-344-1400 Fax: 330-344-0112 | |
Katharine Tavani, NP Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-1000 | |
Dr. Anjay Kumar Khandelwal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-1000 |