STEPHANIE POLSINELLI (NPI# 1780912071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780912071 |
| Entity Type | Individual |
| Full Name | STEPHANIE POLSINELLI |
| Credential | PA |
| Practice Address |
1730 Lawrenceville Suwanee Rd Lawrenceville GA 30043-3507 |
| Practice Telephone | 7703380089 |
| Practice Fax Number | 7703380091 |
| Mailing Telephone | 7703380089 |
| Mailing Fax Number | 7703380091 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5724 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| STATE LICENSE | 5724 | 01 |
| Street Address |
1730 LAWRENCEVILLE SUWANEE RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576639 | Steven M Celestin | Family Medicine | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2005-08-25 |
| 1558826982 | Danielle Kemp | Physician Assistant | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2019-02-11 |
| 1326565771 | Kelly Pierannunzi | Nurse Practitioner | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2017-08-26 |
| 1245673060 | Daniel C Van Riper | Family Medicine | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2013-04-11 |
| 1205140613 | Michelle Forrester | Physician Assistant | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2010-07-28 |
| 1336372770 | Sue E Neal | Nurse Practitioner | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2009-09-02 |
| 1831378249 | Lawrenceville Family Practice | Health Maintenance Organization | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2007-11-01 |
| 1265651541 | Rashmi Arvind Kulkarni | Family Medicine | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2007-04-24 |
| 1457401010 | Robert Joseph Guerreso | Family Medicine | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2007-01-12 |
| 1598879116 | Thomas M. Whiteneck | Family Medicine | 1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1528579950 | Julia Vlada Shumkov | Physician Assistant | 3100 Princeton Pike Ste D, Lawrenceville, NJ 08648-2300 | 2017-10-12 |
| 1851631337 | Dave George | Physician Assistant | 1960 Riverside Parkway Ste#106, Lawrenceville, GA 30043 | 2013-02-21 |
| 1528375946 | Gillian Robinson | Physician Assistant | 900 Legacy Park Dr, Apt 2333, Lawrenceville, GA 30043-8715 | 2010-09-07 |
| 1376705996 | Jacqueline Anne Ritter | Physician Assistant | 123 Franklin Corner Rd Ste 216, Lawrenceville, NJ 08648 | 2008-06-25 |
| 1457439747 | Michelle R Shoultz | Physician Assistant | 545 Old Norcross Rd Ste 300, Lawrenceville, GA 30045-3390 | 2006-11-02 |
| 1326132408 | Michael Johnson | Physician Assistant | 289 Grayson Hwy Ste 2a, Lawrenceville, GA 30046-5726 | 2006-10-03 |
| 1689626657 | Nocollege A Pupuma | Physician Assistant | 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 | 2006-05-17 |
| 1073576716 | Jennifer T. Herbstritt | Physician Assistant | 2500 Brunswick Pike, Suite 101a, Professional Healthcare Services of Lawrenceville, Lawrenceville, NJ 08648-4134 | 2006-04-11 |
| 1285260745 | Elizabeth Joy Elder Sandy | Physician Assistant | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2020-03-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on STEPHANIE POLSINELLI.
| 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.