Dr. Mark J Polak
M.D. | Pediatrics | Male
Dr. Mark J Polak, M.D. is a Morgantown, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mark J Polak is
1 Stadium Drive, Morgantown, West Virginia - 26506. He can be contacted on phone at
304-598-4800 and fax number 304-598-6873.
Dr. Mark J Polak is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mark J Polak is
1265512255 which was assigned by NPPES on 16 Oct, 2006 and it was last updated on 13 Apr, 2022.
Dr. Mark J Polak license number is
13579 for Pediatrics (208000000X) in West Virginia.
Dr. Mark J Polak is a pediatrician who 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.
Complete Profile:
Dr. Mark J Polak basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Mark J Polak |
|---|
| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Mark J Polak address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Stadium Drive
Morgantown, WV, 26506
United States |
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| Phone Number : | 304-598-4800 |
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| Fax Number : | 304-598-6873 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265512255 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Oct, 2006 |
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| Last Updated On : | 13 Apr, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark J Polak are as mentioned. Primary taxonomy code for Dr. Mark J Polak, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 13579 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mark J Polak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0105897000 | MEDICAID | WV | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mpolak657@direct.wvuhsdirect.com
Direct Address | No affiliation | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 1 MEDICAL CENTER DR,
MORGANTOWN, WV, 26506-1200
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 897
Morgantown, WV, 26507-0897
United States |
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| Phone Number : | 304-293-7401 |
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| Fax Number : | 304-293-6963 |
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Business Location:
Patients can refer following map for directions to
Dr. Mark J Polak practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.