MR. PRIDO J POLANCO (NPI# 1710973698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710973698 |
Entity Type | Individual |
Full Name | MR. PRIDO J POLANCO |
Other Name | PRIDO POLANCO |
Credential | MD |
Practice Address |
101 Cole Ave Bisbee AZ 85603-1327 |
Practice Telephone | 5204326481 |
Practice Fax Number | 5204325082 |
Mailing Telephone | 5204326481 |
Mailing Fax Number | 5204325082 |
Enumeration Date | 2005-09-26 |
Last Update Date | 2013-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 13131 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 273524 | 05 |
Street Address |
101 COLE AVE |
City | BISBEE |
State | AZ |
Zip Code | 85603-1327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851391684 | Julia M Brown | Emergency Medicine | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2005-07-22 |
1831706498 | Charisse Marks | Registered Nurse | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2020-09-28 |
1205303963 | Rafe Daniel Arlotti | Physician Assistant | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2018-10-30 |
1235475732 | Dulce Hammett | Nurse Practitioner | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2013-01-02 |
1760739247 | Tucson Orthopaedic Institute Professional Corporation | Physical Medicine & Rehabilitation | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2012-08-14 |
1174752943 | Peggy Francois | Nurse Anesthetist, Certified Registered | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2009-07-14 |
1437395092 | Nicole M. Chavez | Registered Nurse | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2008-12-31 |
1265695415 | Bisbee Hospital Association Dba Cqch | General Acute Care Hospital | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2008-07-08 |
1306021993 | Bisbee Hospital Association | Clinic/Center | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2008-01-02 |
1730399353 | Laurie Thomas | Family Medicine | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2007-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619221553 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 24 Howell Avenue, Bisbee, AZ 85603 | 2012-10-30 |
1144525080 | Denice Maylene Gaddie | Acupuncturist | 125 Bisbee Rd., Bisbee, AZ 85603 | 2011-01-25 |
1295038529 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | #24 Howell St., Bisbee, AZ 85603 | 2010-12-08 |
1467753673 | Robert W. Luigs | Counselor | 229a Tombstone Canyon, Bisbee, AZ 85603 | 2010-11-04 |
1245544162 | Ernestina S Buck | Counselor | 33 Subway St, Bisbee, AZ 85603 | 2010-08-03 |
1558588558 | Juliet Elizabeth Caudle Kihl | Registered Nurse | 519 Melody Ln, Bisbee, AZ 85603 | 2007-04-19 |
1003032194 | Candace Lynne Quibell | Social Worker | 907 B Tombstone Canyon, Bisbee, AZ 85603 | 2007-04-17 |
1902924806 | Faye Chapman Hoese | Counselor | 24 Howell Ave., Box 544, Bisbee, AZ 85603 | 2007-03-27 |
1831214493 | Pamela Rose Blunt | Social Worker | 43 Howell Avenue, Bisbee, AZ 85603 | 2007-03-20 |
1578625091 | Derrick Thor Johnston | Dentist | 2 Naco Rd, Bisbee, AZ 85603 | 2006-12-14 |
Find all providers in zip 85603 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548593510 | Michael J Milazzo | General Practice | 108 Arizona St, Bisbee, AZ 85603-1804 | 2009-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475714 | Tri-medical Family Care, LLC | General Practice | 855 E Warner Rd Ste 100, Chandler, AZ 85225-0998 | 2020-10-20 |
1699374702 | Valley Spinal Care Pain Relief, LLC | General Practice | 15425 N Greenway Hayden Loop Ste A200, Scottsdale, AZ 85260-1239 | 2020-10-20 |
1225645625 | Olympus Health Management LLC | General Practice | 3813 E Oasis Cir, Mesa, AZ 85215-9796 | 2020-09-29 |
1952917205 | Physical Medicine of Mesa LLC | General Practice | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-09-22 |
1346867488 | Infinity Pain Relief, LLC | General Practice | 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 | 2020-07-05 |
1417570664 | Compass Medical Center Heber, Pllc | General Practice | 2931 Highway 260, Overgaard, AZ 85933 | 2020-05-22 |
1700408689 | Cottonwood Physician Group | General Practice | 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679 | 2020-05-13 |
1457973406 | Pima County Physician Group | General Practice | 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 | 2020-05-13 |
1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. PRIDO J POLANCO.
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.