POLARIS PEDIATRICS INC (NPI# 1609175819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609175819 |
| Entity Type | Organization |
| Organization Name | POLARIS PEDIATRICS INC |
| Other Organization Name | BRUCE MIRVIS, MD |
| Practice Address |
8947 Antares Avenue Columbus OH 43240-2012 |
| Practice Telephone | 6144375600 |
| Practice Fax Number | 6149851499 |
| Mailing Telephone | 6144375600 |
| Mailing Fax Number | 6149851499 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | BRUCE ROBERT MIRVIS (OWNER) |
| Authorized Official Telephone | 6144375600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35039260 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0345086 | 05 |
| Other Name | Type Code |
|---|---|
| Bruce Mirvis, MD | Other Name - Individual/Organization |
| Street Address |
8947 ANTARES AVENUE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43240-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| 1184284176 | Atone Chiropractic, LLC | Clinic/Center | 8922 Lyra Dr., Columbus, OH 43240 | 2019-06-20 |
| 1467934802 | Stacey M Henry | Counselor | 8276 Tegmen St, Columbus, OH 43240 | 2018-09-02 |
| 1568825933 | Abigail Garnett | Speech-Language Pathologist | 8425 Pulsar Place, Suite 160, Columbus, OH 43240 | 2016-04-01 |
| 1629409479 | Amy Avery | Counselor | 8862 Commerce Loop Dr, Columbus, OH 43240 | 2013-12-04 |
| 1306195995 | Dr. Eric E. Neader, Inc. | Optometrist | 1500 Polaris Parkway, Suite # 1234, Columbus, OH 43240 | 2012-08-29 |
| 1477838282 | Nicholas P Colla | Pharmacist | 1040 Polaris Parkway, Columbus, OH 43240 | 2011-10-13 |
| 1588809958 | Gemini Medicine LLC | General Practice | 1510 Gemini Place, Columbus, OH 43240 | 2008-12-12 |
| 1932364296 | Justine Nnantege Ssebaggala | Licensed Practical Nurse | 9015 Barley Loft Drive, Columbus, OH 43240 | 2008-07-25 |
| 1487818720 | Irfan Khan | Dentist | 2023 Polaris Parkway, Columbus, OH 43240 | 2008-07-16 |
| Find all providers in zip 43240 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1649736042 | Ece Baris | Pediatrics | 5900 River Rd # 401, Columbus, GA 31904-4578 | 2019-02-11 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| 1457763096 | Darren Klawinski | Pediatrics | 700 Childrens Dr # Drive5, Columbus, OH 43205-2664 | 2014-06-02 |
| 1689002198 | Pediatric Partners of Columbus PC | Pediatrics | 1336 3rd Avenue, Suite B, Columbus, GA 31901-2114 | 2013-10-18 |
| 1639450877 | Mercymed of Columbus Inc | Pediatrics | 3702 2nd Avenue, Columbus, GA 31904 | 2011-09-01 |
| 1558658997 | Shilpa Jeevan Vernekar | Pediatrics | 1546 10th Ave Ste A, Columbus, GA 31901-3613 | 2011-07-06 |
| 1053605642 | W Lloyd Hudson Jr | Pediatrics | 5652 Veterans Pkwy, Columbus, GA 31904-9002 | 2011-06-01 |
| Find all providers in COLUMBUS | ||||
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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.