Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841392636 Individual Practitioner Female Practitioner

Dr. Lori G Polacek , MD

Plastic Surgery • Johnston, RI

Professional Overview & Biography Verified Profile Summary

Dr. Lori Polacek, MD is a registered healthcare professional specializing in Plastic Surgery in Johnston, RI. Practice services are available at 1524 ATWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1524 Atwood Ave
Suite 343

Johnston, RI 02919

Telephone 4013310202
Fax 4014213353
Associated Practice Facility / Clinic
🏢 Ophthalmic Surgeons, Ltd Facility NPI 1518952258

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Johnston, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Johnston, RI (31 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License RI RI8046

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9020105 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Judith Adewuyi

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013835214
NPI 1013902816
Lisa Mellow , PT

Physical Therapist

NPI 1043269582

Physical Therapist

Dr. Kiley Toder , MD

Internal Medicine

NPI 1063640225

Doctor of Medicine (M.D.)

Dr. Anthony Testa , MD

Internal Medicine - Hematology & Oncology

NPI 1083772404

Doctor of Medicine (M.D.)

Jessica Dirocco , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1093374274

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2010

Registered at 1524 ATWOOD AVE, SUITE 343, JOHNSTON, RI 02919 (Tel: 4013310202)

📍
Updated Business Mailing Address July 08, 2010

Registered at 1524 ATWOOD AVE, SUITE 343, JOHNSTON, RI 02919 (Tel: 4013310202)

👤
Provider Name / Credentials Updated July 08, 2010

Recorded as LORI POLACEK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2010

Plastic Surgery (License #RI8046 in RI)

🟢
Initial NPI Registration & Enumeration September 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841392636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: July 08, 2010
Sole Proprietor: Yes

Mailing Address

1524 Atwood Ave, Suite 343

Johnston, RI 02919

Phone: 4013310202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.