TERESA POLK (NPI# 1487801338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487801338 |
| Entity Type | Individual |
| Full Name | TERESA POLK |
| Credential | CFNP |
| Practice Address |
811 Highway 49 South Richland MS 39218 |
| Mailing Address |
Po Box 180165 Richland MS 39218 |
| Practice Telephone | 6019325060 |
| Practice Fax Number | 6019325062 |
| Mailing Telephone | 6019325060 |
| Mailing Fax Number | 6019325062 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2014-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R694061 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00117759 | 05 |
| Street Address |
811 HIGHWAY 49 SOUTH |
| City | RICHLAND |
| State | MS |
| Zip Code | 39218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
| 1346590460 | Medical Systems Management LLC | Clinic/Center | 120 Sarborough St, Suite A, Richland, MS 39218 | 2012-09-17 |
| 1629238530 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 181 Davis Johnson Dr., Suite G, Richland, MS 39218 | 2008-06-13 |
| 1710177688 | Wiley Vision Care LLC | Optometrist | 200 Market Place Dr, Richland, MS 39218 | 2007-07-27 |
| 1821292731 | Tara Pharmacy | Pharmacy | 110 Metroplex Blvd, Suite H, Pearl, MS 39218 | 2007-06-13 |
| 1881797439 | Don A Gibson | Family Medicine | 811 Hwy 49 South, Richland, MS 39218 | 2006-09-07 |
| 1912914516 | Renalab Inc | Clinical Medical Laboratory | 197 Interstate Drive, Suite G, Richland, MS 39218 | 2006-08-03 |
| 1730667403 | Kasey Ray Hinton | Physical Therapist | 1201 Highway 49 S Ste 2, Richland, MS 39218 | 2018-08-03 |
| 1033693866 | Melodie Carol Brown | Nurse Practitioner | 1201 U.S. 49, Suite 1, Richland, MS 39218-3921 | 2018-09-18 |
| 1750450581 | James Anthony Presley | Dentist | 125 W Harper St, Richland, MS 39218-4406 | 2006-11-07 |
| Find all providers in zip 39218 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577994 | Alexis Danielle Rapp | Family Medicine | 945 Goethals Dr # 300310, Richland, WA 99352-3552 | 2020-01-10 |
| 1730736513 | Garrett Healthcare LLC | Family Medicine | 214 Spell Dr, Richland, MS 39218-9619 | 2019-08-26 |
| 1073961439 | William H West | Family Medicine | 1351 Fowler St Ste 200, Richland, WA 99352-4714 | 2016-05-26 |
| 1932571247 | Richard Gutierrez | Family Medicine | 5170 Stone Oak Ln, Richland, MI 49083-9415 | 2015-10-26 |
| 1174918080 | Janas Family Medicine PC | Family Medicine | 10529 Country Club Dr, Richland, MI 49083-9588 | 2015-03-30 |
| 1427311968 | Janet S Arnold | Family Medicine | 431 Wellsian Way, Richland, WA 99352 | 2012-06-20 |
| 1871853804 | Marie-elise Midthun Cadwell Meyer | Family Medicine | 940 Northgate Dr., Richland, WA 99352 | 2012-05-24 |
| 1336432103 | Kimberly Jane Miller | Family Medicine | 294 Piper St, Richland, WA 99352-8703 | 2011-05-26 |
| 1912229717 | Advanced Primary Care Pllc | Family Medicine | 1445 Spaulding Park, Richland, WA 99352-4715 | 2010-02-19 |
| 1598900672 | Richland Caring Hands, Inc. | Family Medicine | 1040 Highway 49 S Ste F320, Richland, MS 39218-4451 | 2008-12-03 |
| Find all providers in RICHLAND | ||||
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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.