ETHAN POLAND DO
NPI 1174452734
Emergency Medicine in Grand Blanc, MI

Q: What is Ethan Poland's NPI number?

The NPI number for Ethan Poland is 1174452734. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Q: What is Ethan Poland's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Poland was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2026PECOS Enrolled

1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ethan Poland Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN POLAND DO (NPI 1174452734) is an individual emergency medicine provider in Grand Blanc, Michigan, licensed in Michigan (5151017925) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174452734

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameETHAN POLANDCredential: DO

Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065

Mailing Address3970 Meadowood Ln SwGrandville, MI 49418-2036 · (616) 340-0138

Phone(810) 606-5000

Sole ProprietorYes

Enumeration DateMay 18, 2026

NPPES CertifiedMay 18, 2026

✔ NPI 1174452734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5151017925

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1 GENESYS PKWY, Grand Blanc, MI 48439

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Poland Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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