MR. EUFEMIO CONTRERAS POLANCO (NPI# 1346464195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346464195 |
| Entity Type | Individual |
| Full Name | MR. EUFEMIO CONTRERAS POLANCO |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1209 N Miller Rd Buckeye AZ 85326-1043 |
| Mailing Address |
9250 N 3rd St Suite 4010 Phoenix AZ 85020-2437 |
| Practice Telephone | 6233865785 |
| Practice Fax Number | 6233866673 |
| Mailing Telephone | 6026333848 |
| Mailing Fax Number | 6026333841 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1426 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TAX-ID | 86-0783428 | 01 |
| Street Address |
1209 N MILLER RD |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85326-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779250 | Matthew Duke | Family Medicine | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2006-02-14 |
| 1457780306 | Debbie Lynn Davis | Nurse Practitioner | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2013-11-01 |
| 1992934186 | Brandon Arnold Marschman | Physical Therapist | 1209 N Miller Rd, Suite B, Buckeye, AZ 85326-1043 | 2009-07-08 |
| 1922295831 | Carey M Tucker | Physician Assistant | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2007-09-25 |
| 1841269313 | Kirstine A. Blackshear | Physician Assistant | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609225 | Dawn Vetro | Social Worker | 26428 Mc 85, Buckeye, AZ 85326 | 2020-05-06 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| 1790269256 | Pathbuilders Counseling Services, Inc | Marriage & Family Therapist | 1300 N. Miller Road, Buckeye, AZ 85326 | 2018-09-20 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1548785884 | Az Comfort Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23832 W Tonto Street, Buckeye, AZ 85326 | 2017-08-08 |
| 1992227300 | Elias Linn IIi | Pharmacist | 1060 S. Watson Rd, Buckeye, AZ 85326 | 2017-07-07 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| 1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1992187124 | Anita Morgan | Social Worker | 389 S 228th Lane, Buckeye, AZ 85326 | 2015-06-24 |
| Find all providers in zip 85326 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346717816 | Jennifer Guess | Physician Assistant | 1500 S Watson Rd Ste 104, Buckeye, AZ 85326-8690 | 2018-11-01 |
| 1093907974 | Barry Todd Johnson | Physician Assistant | 26701 S State Route 85, Buckeye, AZ 85326 | 2007-08-14 |
| 1871075465 | Remington Lee Steele | Physician Assistant | 1300 S Watson Rd # A104, Buckeye, AZ 85326-6303 | 2018-08-30 |
| 1104293794 | Joshua Alan Rhodes | Physician Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2015-08-31 |
| 1306222641 | Maria Varga | Physician Assistant | 26428 W Us Highway 85, Buckeye, AZ 85326-5002 | 2015-08-10 |
| 1427392299 | The Little Clinic of Arizona LLC | Physician Assistant | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2012-11-19 |
| 1922295831 | Carey M Tucker | Physician Assistant | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2007-09-25 |
| 1023216249 | The Little Clinic of Arizona LLC | Physician Assistant | 1300 S Watson Rd, Buckeye, AZ 85326-6303 | 2007-07-10 |
| 1598885170 | Corie S Kelly | Physician Assistant | 525 S Watson Rd Ste 200, Buckeye, AZ 85326-3451 | 2007-03-29 |
| 1568489458 | Lynn Ann Damico | Physician Assistant | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2006-07-16 |
| Find all providers in BUCKEYE | ||||
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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.