DR. STACEY POLAN (NPI# 1518997881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518997881 |
| Entity Type | Individual |
| Full Name | DR. STACEY POLAN |
| Credential | D.O. |
| Practice Address |
152 Wolf St Phila PA 19148-3325 |
| Mailing Address |
4 Snowden Rd Bala Cynwyd PA 19004-2633 |
| Practice Telephone | 2154655607 |
| Practice Fax Number | 2154656830 |
| Mailing Telephone | 2154655607 |
| Mailing Fax Number | 2154656830 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS004495L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0908779 | 05 |
| Street Address |
152 WOLF ST |
| City | PHILA |
| State | PA |
| Zip Code | 19148-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659317790 | Harold A Polan | Family Medicine | 152 Wolf St, Phila, PA 19148 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902001738 | Diahann Frances Mosley | Internal Medicine | 230 N. Broad St, Phila, PA 19102 | 2007-06-20 |
| 1255491593 | Hemlata M Kalwani | Internal Medicine | 7924 Bustleton Ave, Phila, PA 19152-3321 | 2006-12-09 |
| 1215096243 | Alison Alexander | Internal Medicine | 4168 Germantown Avenue, Phila, PA 19140-2946 | 2006-12-06 |
| 1295814598 | Kenneth D Winokur | Internal Medicine | 1817 S 2nd St, Phila, PA 19148 | 2006-11-06 |
| 1114023009 | Walter Franklin Wrenn IIi | Internal Medicine | 5139 Chestnut St, Phila, PA 19139 | 2006-09-16 |
| 1033155023 | Dr Albert Nemez Md. PC | Internal Medicine | 7001 Kindred St, Phila, PA 19149-1724 | 2006-06-20 |
| 1952341992 | V Blake Marshall Jr. | Internal Medicine | 2230 Cottman Ave, Phila, PA 19149-1230 | 2006-06-07 |
| 1386693968 | Romeo S Abella | Internal Medicine | 915 E Cayuga St, Phila, PA 19124-3817 | 2006-05-09 |
| 1972568251 | Monjur Ahmed | Internal Medicine | 132 S. 10th Street, 480 Main Bldg., Phila, PA 19107 | 2006-04-19 |
| 1396743787 | Leena Vadaketh | Internal Medicine | 321 W Girard Ave, Phila, PA 19123-1531 | 2005-07-11 |
| Find all providers in PHILA | ||||
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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.