KATIE POLASKI (NPI# 1780123968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780123968 |
| Entity Type | Individual |
| Full Name | KATIE POLASKI |
| Credential | PA-C |
| Practice Address |
2700 Baker St Fl 3 Muskegon MI 49444 |
| Mailing Address |
2700 Baker St Fl 3 Muskegon MI 49444-2157 |
| Practice Telephone | 2317371335 |
| Practice Fax Number | 2317370534 |
| Mailing Telephone | 2317371335 |
| Mailing Fax Number | 2317370534 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008045 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601008045 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1780123968 | 05 |
| Street Address |
2700 BAKER ST FL 3 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251442 | Margaret E Rosina Wolter | Nurse Practitioner | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2005-08-02 |
| 1912506635 | Hackley Community Care Center Inc | Clinic/Center | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2020-10-23 |
| 1134734569 | James Robert Mason | Counselor | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2020-09-11 |
| 1194369033 | Jessica Morgan Ladd | Social Worker | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2019-11-04 |
| 1558834788 | James J Tuljus | Physician Assistant | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2019-01-10 |
| 1629505714 | Hackley Community Care Center Inc | Family Medicine | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2017-05-19 |
| 1649707092 | Krista Mashak | Social Worker | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2017-05-16 |
| 1619414984 | Ryan Thomas Busch | Physician Assistant | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2017-01-25 |
| 1538511621 | Sara Strait | Nurse Practitioner | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2016-07-13 |
| 1194175612 | Hackley Community Care Center Inc | Family Medicine | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487702890 | Daniel F Spitters | Physician Assistant | 2400 S Sheridan, Muskegon, MI 49442 | 2007-01-08 |
| 1629002241 | Katherine A Beck | Physician Assistant | 1675 Leahy Street, Suite 401, Muskegon, MI 49442 | 2006-07-10 |
| 1972504959 | Robert Leslie Eichelberger | Physician Assistant | 1700 Oak Ave, Suite 400, Muskegon, MI 49442-2407 | 2005-08-02 |
| 1740804616 | Tanner Thomas Hecht | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-06-05 |
| 1194354787 | Ashley Caroline Parzych | Physician Assistant | 1560 E Sherman Blvd Ste 240, Muskegon, MI 49444-1854 | 2020-04-06 |
| 1811536428 | Anthony James Madison | Physician Assistant | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2019-12-30 |
| 1871067819 | Kelsi Drudy | Physician Assistant | 1700 Clinton St, Muskegon, MI 49442-5502 | 2019-01-13 |
| 1437630522 | Emma Sue Ottman | Physician Assistant | 1700 Clinton St, Muskegon, MI 49442 | 2018-08-27 |
| 1750897245 | Aleah Charity Wysozan | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2017-12-19 |
| 1356867733 | Diane Elizabeth Kibiloski | Physician Assistant | 1400 Mercy Dr Ste 100, Muskegon, MI 49444-1836 | 2017-08-17 |
| Find all providers in MUSKEGON | ||||
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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.