DR. MAXIM ALEXANDROVICH POLANSKY (NPI# 1275913006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275913006 |
| Entity Type | Individual |
| Full Name | DR. MAXIM ALEXANDROVICH POLANSKY |
| Credential | M.D. |
| Practice Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Mailing Address |
20 York St Yale-new Haven Hospital New Haven CT 06510-3220 |
| Practice Telephone | 7153875511 |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
73235 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 789 Howard Ave, Ynhh PCc York St. Campus, New Haven, CT 065191304 | 2036888300 |
| Street Address |
1000 N OAK AVE |
| City | MARSHFIELD |
| State | WI |
| Zip Code | 54449-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638643 | Ajit V Pillai | Dentist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2005-06-13 |
| 1760080535 | Dylan Loertscher | Physical Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5702 | 2020-10-14 |
| 1871190058 | Junting Liu | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-10-01 |
| 1235746959 | Taylor Marie Tischauser | Occupational Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-27 |
| 1558978544 | Claire Marie Lindner | Occupational Therapist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-24 |
| 1336753326 | Aanchal Chaudhary | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-09-07 |
| 1457964389 | Gul Nawaz | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-29 |
| 1639782782 | Kimberly Carolfi | Nurse Practitioner | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-28 |
| 1831702190 | Alexandra Fuss Vanderwerff | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5702 | 2020-08-26 |
| 1003428343 | Medhavani Dhruv Chandra | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125415 | Natalia Rodriguez Luquerna | Student in an Organized Health Care Education/Training Program | 100 N Oak Ave, Marshfield, WI 54449 | 2019-07-01 |
| 1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
| 1811489206 | Gateways Counseling Services, LLC | Counselor | 1905 S Central Ave, Marshfield, WI 54449 | 2018-06-01 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1295187441 | Trina D Howard | Social Worker | 501 S. Cherry Ave, Suite 5, Marshfield, WI 54449 | 2016-07-11 |
| 1427403062 | Kristi Trecartin | Speech-Language Pathologist | 100 North Oak Avenue, Marshfield, WI 54449 | 2016-05-02 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1467822759 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 1000 N. Oak Ave, Marshfield, WI 54449 | 2015-09-30 |
| 1346636743 | Jeanne Schreiner | Clinical Nurse Specialist | 611 Saint Joseph's Ave, Ministry Saint Joseph's Hospital, Marshfield, WI 54449 | 2015-04-13 |
| 1215336318 | Margaret Ann Chen | Medical Genetics, Ph.D. Medical Genetics | 3800 S. Business Park Ave., Marshfield, WI 54449 | 2014-08-14 |
| Find all providers in zip 54449 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605880 | Forefront Dermatology Sc | Dermatology | W7713 Johnson Ct, Wautoma, WI 54982-5274 | 2020-10-05 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1588857247 | Forefront Dermatology, S.c. | Dermatology | 1400 Scheuring Road, De Pere, WI 54115 | 2007-08-24 |
| 1083768253 | Forefront Dermatology, S.c. | Dermatology | 3935 N Lightning Dr, Appleton, WI 54913 | 2007-01-23 |
| 1003356692 | Forefront Dermatology, S.c. | Dermatology | 17100 W North Ave, Suite 200, Brookfield, WI 53005 | 2017-03-01 |
| 1477001956 | Forefront Dermatology, S.c. | Dermatology | 8501 75th St, Suite J, Kenosha, WI 53142 | 2016-09-14 |
| 1215483201 | Forefront Dermatology, S.c. | Dermatology | 10500 W Loomis Rd, Suite 110, Franklin, WI 53132 | 2016-08-30 |
| 1013350958 | New Dermatology Group Ltd | Dermatology | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2013-04-10 |
| 1356784334 | New Dermatology Group Ltd | Dermatology | 1747 Shawano Ave, Green Bay, WI 54303-3243 | 2013-04-09 |
| Find all providers with the same taxonomy | ||||
| City | MARSHFIELD |
| Zip Code | 54449 |
Please comment or provide details below to improve the information on DR. MAXIM ALEXANDROVICH POLANSKY.
| 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.