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THEODORE Z POLLEY MD
NPI 1326140658
Surgery - Pediatric Surgery in Ypsilanti, MI

Active since September 05, 2006
5301 EAST HURON RIVER DR, YPSILANTI, MI 48197(734) 712-2441 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore Z Polley Md NPPES

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

THEODORE Z POLLEY MD (NPI 1326140658) is an individual pediatric surgery provider in Ypsilanti, Michigan, licensed in Michigan (4301036361) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1326140658
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameTHEODORE Z POLLEYCredential: MD
Location Address5301 EAST HURON RIVER DRYpsilanti, MI 48197-1051
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 712-2441
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJuly 2, 2012
✔ NPI 1326140658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MI · 4301036361
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 4301036361 (MI)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 4301036361 (MI)
5301 EAST HURON RIVER DR, Ypsilanti, MI 48197
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Other Identifiers 3

Medicaid1407812MI
Medicare ID-Type Unspecified0H16113004MI
Medicare UPINA78769MI

Other Providers at the Same Location NPPES

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

HURON RIVER RADIATION ONCOLOGY SPECIALISTS PC
Radiology (Radiation Oncology)
5301 EAST HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Polley's NPI number?

The NPI number for Theodore Polley is 1326140658. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Theodore Polley located?

Theodore Polley practices at 5301 East Huron River Dr, Ypsilanti, MI 48197. The listed phone number is (734) 712-2441.

What is Theodore Polley's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Theodore Polley was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.