Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex John Polenick, PA-C

Individual provider Medical Physician Assistant · NPI 1003397654

Alex John Polenick, PA-C is a Physician Assistant in Boardman, Ohio. Qualified in 2018, 8 years ago. Practices with Youngstown Orthopaedic Associates Ltd, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1499 Boardman Canfield Rd
Boardman, OH 44512-4008
Phone: (330) 758-0577
Fax: (330) 533-4587
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1695 Niles Cortland Rd Ne, Warren, OH 44484-1165 — (330) 758-0577

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.005589RX (OH)

Record details

NPI number1003397654
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2018
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Youngstown Orthopaedic Associates Ltd — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boardman