JANIS CALDWELL POLOS (NPI# 1366621369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366621369 |
| Entity Type | Individual |
| Full Name | JANIS CALDWELL POLOS |
| Practice Address |
2505 Lucas St Eureka CA 95501-3340 |
| Practice Telephone | 7074453063 |
| Mailing Telephone | 7074453065 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14648 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2505 LUCAS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489389 | Timothy Charles Paik-nicely | Family Medicine | 2505 Lucas St, Ste B, Eureka, CA 95501-3340 | 2005-06-29 |
| 1114476413 | With Open Arms / Reproductive Health Care Services LLC | Advanced Practice Midwife | 2505 Lucas St, Ste B, Eureka, CA 95501-3340 | 2016-09-27 |
| 1134510399 | With Opens Arms Reproductive Health Care Services | Family Medicine | 2505 Lucas St, Ste B, Eureka, CA 95501-3340 | 2015-02-10 |
| 1780944579 | Allen S Mathew Md | Internal Medicine | 2505 Lucas St, Eureka, CA 95501-3340 | 2012-05-25 |
| 1548345416 | Downtown Medical Clinic Inc. | Clinic/Center | 2505 Lucas St, Eureka, CA 95501-3340 | 2006-10-26 |
| 1730284696 | Northcoast Family Practice Medical Group Inc | Family Medicine | 2505 Lucas St, Eureka, CA 95501-3340 | 2006-09-14 |
| 1417053075 | Allen Sebastian Mathew | Internal Medicine | 2505 Lucas St, Eureka, CA 95501-3340 | 2006-09-14 |
| 1124000922 | John P Brimlow | Physician Assistant | 2505 Lucas St, Eureka, CA 95501-3340 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609324 | Megan Rochelle Robison | Nurse Practitioner | 6 Hogan Cir Apt 305, Eureka, MO 63025-3810 | 2018-08-16 |
| 1689124414 | Matthew Keen | Nurse Practitioner | 615 Top Notch Ln, Eureka, MO 63025-1169 | 2016-10-05 |
| 1164834578 | Roxane Heiob | Nurse Practitioner | 1525 J St, Eureka, CA 95501-2657 | 2014-05-20 |
| 1356492771 | Yvette Alise Faust | Nurse Practitioner | 2607 Harris St, Eureka, CA 95503-4806 | 2007-01-13 |
| 1841230752 | Jennifer S. Hoffman | Nurse Practitioner | 105 S Major St, Eureka, IL 61530-1246 | 2006-06-08 |
| 1790742534 | Paula Israel Rhude | Nurse Practitioner | 301 P St, Eureka, CA 95501-0627 | 2006-04-26 |
| 1275517674 | Marina Lans Early | Nurse Practitioner | 2200 Tydd Street, Eureka, CA 95501-1284 | 2005-11-30 |
| 1942298955 | Veronica Renee Wizes | Nurse Practitioner | 1773 Harrison Ave, Eureka, CA 95501-1338 | 2005-10-12 |
| 1447864756 | Shoua Lor | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-09-03 |
| 1467066209 | Rolando Subijano | Nurse Practitioner | 2505 Lucas St Ste A, Eureka, CA 95501-3340 | 2020-08-31 |
| Find all providers in EUREKA | ||||
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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.