DR. POLINA FROLOVA GREGORY (NPI# 1639598394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639598394 |
| Entity Type | Individual |
| Full Name | DR. POLINA FROLOVA GREGORY |
| Other Name | POLINA FROLOV |
| Credential | D.O. |
| Practice Address |
825 Eastlake Ave E Seattle WA 98109-4405 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065205000 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2017-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | OP60777439 | WA | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
OP60777439 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PIN | 8970370 | 01 |
| WA | 1639598394 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15855 19 Mile Rd, Henry Ford Macomb Hospitals, Clinton Twp, MI 480383504 | 5862031662 |
| Street Address |
825 EASTLAKE AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637288 | Stephen J Lemon | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2005-08-25 |
| 1306447834 | Saaiqa Maredia Momin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-11-02 |
| 1154921849 | Kenneth Tham | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-10-30 |
| 1023625498 | Ivan Jiayong Huang | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-09-29 |
| 1710599378 | Christine Gleason | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-08-17 |
| 1962023374 | Deeter Ryan Neumann | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-27 |
| 1083234595 | Sydney Lee Smith | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
| 1629698154 | Andrew Thomas Ruplin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
| 1396365300 | Kikkeri N Naresh | Pathology | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-20 |
| 1942820220 | Arianne Duong | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750795654 | Raghav Chawla | Pediatrics | 4800 Sand Point Way Ne, B-6553, Seattle, WA 98105 | 2014-06-18 |
| 1780792622 | Phoenix A Ho | Pediatrics | 2324 Eastlake Ave E Ste 500, Seattle, WA 98102-6536 | 2006-08-29 |
| 1497174759 | Erin E Crotty | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-15 |
| 1871912261 | Anurekha Gollapudi | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2014-04-14 |
| 1073930277 | Cassie Kai-chi Chou | Pediatrics | 4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105-3901 | 2014-03-25 |
| 1184966251 | Michelle Ting | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2013-03-26 |
| 1598007890 | Jay Sarthy | Pediatrics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2013-03-25 |
| 1134460751 | Neel Sanjivbhai Bhatt | Pediatrics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2013-03-06 |
| 1730476581 | Urmila P Uparkar | Pediatrics | 4800 Sand Point Way Ne, B-6553, Seattle, WA 98105-3901 | 2011-06-30 |
| 1144511080 | Adam Joseph Lamble | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2011-04-26 |
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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.