DAVID POLANCO (NPI# 1265782650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265782650 |
| Entity Type | Individual |
| Full Name | DAVID POLANCO |
| Credential | CPO |
| Practice Address |
8000 Anderson Sq Austin TX 78757-8401 |
| Practice Telephone | 5123772323 |
| Practice Fax Number | 5123749993 |
| Mailing Telephone | 5123772323 |
| Mailing Fax Number | 5123749993 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 1481 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 1481 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8000 ANDERSON SQ |
| City | AUSTIN |
| State | TX |
| Zip Code | 78757-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205931102 | Orthotic & Prosthetic Technologies Inc | Clinic/Center | 8000 Anderson Sq, Ste 301a, Austin, TX 78757-8421 | 2006-09-14 |
| 1861744450 | Nicole Haupt | Student in an Organized Health Care Education/Training Program | 8000 Anderson Sq, Austin, TX 78757-8401 | 2012-10-08 |
| 1124378419 | Susan Kestner | Orthotist | 8000 Anderson Sq, Austin, TX 78757-8401 | 2012-09-13 |
| 1316297609 | John Snapp | Orthotist | 8000 Anderson Sq, Austin, TX 78757-8401 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
| 1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
| 1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
| 1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
| 1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
| 1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
| Find all providers in zip 78757 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861254 | Anthony Fraello | Prosthetist | 1508 Dessau Ridge Ln Ste 601, Austin, TX 78754-2121 | 2019-03-22 |
| 1336543602 | Laura B Ramsower | Prosthetist | 1701 W Ben White Blvd Ste 162, Austin, TX 78704-7679 | 2014-10-15 |
| 1518190917 | Allison F Neil | Prosthetist | 3001 Bee Caves Rd Ste 130, Austin, TX 78746-5590 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 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.