POLEY SPORTS MEDICINE, PLLC – NPI #1255832382
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

POLEY SPORTS MEDICINE, PLLC is an AHC clinic located in MACOMB, MI. NPPES has assigned the NPI number 1255832382 to POLEY SPORTS MEDICINE, PLLC on February 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 8 years ago on May 25, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POLEY SPORTS MEDICINE, PLLC below.

NPI Profile for
POLEY SPORTS MEDICINE, PLLC

NPI Number
1255832382
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POLEY SPORTS MEDICINE, PLLC
Primary location
15959 HALL RD STE 405
MACOMB, MI 48044
Phone: (586) 416-6260 Fax:
1 Other location(s):
4550 Investment Dr Ste 240
Troy, MI 48098-6334
Phone: (248) 792-9881
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT POLEY
MANAGING MEMBER
Phone: (586) 416-6260
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.