DOROTA K. POLUHA (NPI# 1679550743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679550743 |
Entity Type | Individual |
Full Name | DOROTA K. POLUHA |
Credential | MD |
Practice Address |
107 Lincoln St Adcare Hospital Worcester MA 01605-2401 |
Mailing Address |
5 Northampton St Worcester MA 01605-3407 |
Practice Telephone | 5087999000 |
Practice Fax Number | 5087533733 |
Mailing Telephone | 5087999000 |
Mailing Fax Number | 5087533733 |
Enumeration Date | 2005-12-29 |
Last Update Date | 2017-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MP0339019A | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3182321 | 05 |
Street Address |
107 LINCOLN ST ADCARE HOSPITAL |
City | WORCESTER |
State | MA |
Zip Code | 01605-2401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679107031 | Shauna Moynihan Simpson | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2020-02-25 |
1780165498 | Stephen Zombil | Nurse Practitioner | 107 Lincoln St, Worcester, MA 01605-2401 | 2018-08-22 |
1356854525 | Lynne A Walker | Nurse Practitioner | 107 Lincoln St, Worcester, MA 01605-2401 | 2017-11-09 |
1831634849 | Joshua Master | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2016-12-29 |
1417339482 | Kimberly L Jones | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2015-06-25 |
1811321128 | David Joseph Baker | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2013-08-23 |
1265774483 | Mark Rebello | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2013-03-26 |
1578813721 | Maegan Elizabeth Holland | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2012-09-14 |
1497005185 | Dzhulyeta Azizian | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2012-09-11 |
1376839977 | Judith Ward | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2011-06-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
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Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164409231 | Wojciech Poluha | Internal Medicine | 107 Lincoln St, Worcester, MA 01605-2401 | 2005-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154804698 | Bay Medical Systems Associates LLC | Internal Medicine | 29 Main St Ste 101, Millbury, MA 01527-2005 | 2018-09-11 |
1619491198 | Willett & Associates | Internal Medicine | 22 Adams St Ste 1, Lynn, MA 01902-2804 | 2017-07-27 |
1275897092 | Jeoffrey Michael Hill | Internal Medicine | 100 Stone Manor Dr, New Marlborough, MA 01230-9744 | 2012-06-26 |
1487944914 | William Robert Caruso | Internal Medicine | 8 Winthrop Ave, Po 1153, Duxbury, MA 02332-5207 | 2011-04-18 |
1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
1609920776 | Theodore Treibick | Internal Medicine | 138 East St, Carlisle, MA 01741-1105 | 2007-01-23 |
1174544548 | William M Burke | Internal Medicine | 157 Temple St, West Roxbury, MA 02132-3804 | 2006-07-21 |
1083633580 | Michael J.f. Iannessa | Internal Medicine | 1233 State Rd, Plymouth, MA 02360-5133 | 2006-07-18 |
1235165291 | Robert Barry Downes | Internal Medicine | 169 Pine St, Natick, MA 01760-1332 | 2006-06-23 |
1669430526 | Alan A Wartenberg | Internal Medicine | 3 Prince St, Attleboro, MA 02703-1613 | 2006-05-02 |
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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.