DR. DAVID LOUIS POLAGE (NPI# 1083850242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083850242 |
| Entity Type | Individual |
| Full Name | DR. DAVID LOUIS POLAGE |
| Credential | MD |
| Practice Address |
609 Speyers Rd B39-15 Yakima Valley School Selah WA 98942-1099 |
| Mailing Address |
609 Speyers Road B39-15 Yakima Valley School Selah WA 98942-1099 |
| Practice Telephone | 5096981300 |
| Practice Fax Number | 5096972230 |
| Mailing Telephone | 5096981300 |
| Mailing Fax Number | 5096972230 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 00012820 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
609 SPEYERS RD B39-15 YAKIMA VALLEY SCHOOL |
| City | SELAH |
| State | WA |
| Zip Code | 98942-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821030123 | Washington State Dept. of Social & Health Services | Pharmacy | 609 Speyers Rd, Selah, WA 98942-1050 | 2006-06-12 |
| 1154967099 | Bupe Martha M Habiyambere | Nurse Practitioner | 609 Speyers Rd, Selah, WA 98942-1050 | 2019-11-26 |
| 1760941579 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 609 Speyers Rd, Selah, WA 98942-1050 | 2019-03-19 |
| 1194063776 | Kate Olsen | Pharmacist | 609 Speyers Rd, Selah, WA 98942-1050 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063847580 | Rebekah Mccullough | Counselor | 107 W Orchard Ave, Selah, WA 98942 | 2013-09-04 |
| 1528305869 | Heather Renae Yochum | Registered Nurse | 207 Palmer Drive, Selah, WA 98942 | 2013-01-07 |
| 1669697223 | Nicholus Gentry | Counselor | 1790 Selah Loop Road #23, Selah, WA 98942 | 2007-04-16 |
| 1639296619 | Angela Marie Kelsey | Massage Therapist | 107 W Naches, Selah, WA 98942 | 2007-03-23 |
| 1093899338 | Jeffrey L Jennings | Psychiatry & Neurology | 691 S Wenas, Selah, WA 98942 | 2006-10-24 |
| 1215935069 | David Lee Lemmon | Chiropractor | 318 S 1st Street, Selah, WA 98942 | 2005-07-13 |
| 1275775645 | Memorial Practice Management, LLC | Clinic/Center | 118 S 2nd St, Yakima, WA 98942 | 2009-04-01 |
| 1518981489 | David A Pommer | Family Medicine | 620 N. Park Drive, Selah, WA 98942 | 2006-07-26 |
| 1639129695 | Dshs/dda/yakima Valley School | Skilled Nursing Facility | 609 Speyers Road, Selah, WA 98942-1050 | 2006-05-11 |
| 1023109287 | Selah School District | Local Education Agency (LEA) | 105 W Bartlett Ave, Selah, WA 98942-1117 | 2006-09-27 |
| Find all providers in zip 98942 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1659997831 | Lauren Elizabeth Strout | Pediatrics | 2510 N Pines Rd Ste 1, Spokane Valley, WA 99206-7636 | 2020-06-23 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1407491251 | Edwin Low | Pediatrics | 6207 156th Ave Ne, Redmond, WA 98052-4828 | 2019-11-14 |
| 1700428323 | Michelle Kice | Pediatrics | 6201 Reid Dr Nw, Gig Harbor, WA 98335-1349 | 2019-10-15 |
| 1265085682 | North Sound Pediatrics | Pediatrics | 15808 Mill Creek Blvd Ste 201, Mill Creek, WA 98012-1500 | 2019-07-24 |
| 1053976589 | Nicole Marie Banks | Pediatrics | 9910 Levin Rd Nw Ste 200, Silverdale, WA 98383-7789 | 2019-05-09 |
| 1962964726 | Michael Arenson | Pediatrics | 4800 Sand Point Way Ne # Oc 7/8, Seattle, WA 98105-3901 | 2019-04-02 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.