MRS. ANGELA MAE POLK (NPI# 1790157402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790157402 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA MAE POLK |
| Credential | CSA |
| Practice Address |
2025 Glenn Mitchell Dr Virginia Beach VA 23456-0178 |
| Mailing Address |
1920 Clifton Bridge Dr Virginia Beach VA 23456-7820 |
| Practice Telephone | 7575071000 |
| Mailing Telephone | 7577351225 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1871693309 | Angela Patrice Polk | Pharmacist | 143 Hunt Cir, Madison, MS 39110-8651 | 2006-09-24 |
| 1346650645 | Angela Polk | Occupational Therapist | 42101 Griswold Rd, Elyria, OH 44035-2117 | 2014-05-07 |
| 1447538194 | Angela Polk | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2011-07-29 |
| Street Address |
2025 GLENN MITCHELL DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179532 | Linwood Ray Spruiell | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2005-10-24 |
| 1215551361 | Cortney Brook Jones | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-06-04 |
| 1912520164 | Kelly S Cook | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-05-22 |
| 1962021576 | Michael Leary | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-04-14 |
| 1649808403 | Ashlee Simmons | Radiologic Technologist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-03-29 |
| 1063046548 | Tyler Adam Metzger | Physician Assistant | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-02-24 |
| 1962047084 | Ma Zaidelaine Arellano Llena | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-11-12 |
| 1053877274 | Melody Crystal Hanson | Occupational Therapist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-02-12 |
| 1821568957 | Katrina Monique Brown | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-12-02 |
| 1740765395 | Daezel Aler Lacanlale | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705565 | Abhishek Mohan | Specialist/Technologist, Other | 1509 Mirassou Ln, Virginia Beach, VA 23454-1375 | 2018-10-13 |
| 1215469572 | Antonino Mario Quartarone | Specialist/Technologist, Other | 1205 Rose Galaxy Lndg, Apt. 202, Virginia Beach, VA 23456-7771 | 2017-03-28 |
| 1245633056 | Scott Bracken | Specialist/Technologist, Other | 1008 Michaelwood Dr, Virginia Beach, VA 23452-4612 | 2014-10-07 |
| 1710318597 | Edward Legare | Specialist/Technologist, Other | 4656 Larkwood Dr, Virginia Beach, VA 23464-5817 | 2013-12-04 |
| 1619119930 | Sherry Lynn Taylor | Specialist/Technologist, Other | 2308 Beach Haven Dr, Unit 203, Virginia Beach, VA 23451-1252 | 2009-04-01 |
| 1548721806 | Atlantic Surgical Assistants, Inc | Specialist/Technologist, Other | 4656 Larkwood Dr, Virginia Beach, VA 23464-5817 | 2019-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594393 | Casteen Surgical Assisting | Specialist/Technologist, Other | 1630 Wilkes Ridge Pkwy Ste 101, Richmond, VA 23233-7410 | 2020-10-07 |
| 1316563786 | Aquiles Salvador Martinez Hernandez | Specialist/Technologist, Other | 691 National Ave, Winchester, VA 22601-5566 | 2020-06-22 |
| 1043845712 | Kelley Widel Vitolo | Specialist/Technologist, Other | 3411 Londonderry Ct, Roanoke, VA 24018-5059 | 2020-03-03 |
| 1588297675 | Reiko Adele Casteen | Specialist/Technologist, Other | 4801 Kipper Dr, Moseley, VA 23120-2221 | 2020-02-17 |
| 1013556414 | Jose Andino | Specialist/Technologist, Other | 7 Kettering Ln, Hampton, VA 23666-1475 | 2020-01-02 |
| 1720625080 | Jackson Ariel Moscoso | Specialist/Technologist, Other | 3127 Plantation Pkwy, Fairfax, VA 22030-2117 | 2019-12-05 |
| 1811549942 | Charles F Hughes Jr. | Specialist/Technologist, Other | 3604 Muirfield Green Pl, Midlothian, VA 23112-4529 | 2019-07-09 |
| 1407311384 | Surgical Hands On,llc | Specialist/Technologist, Other | 7028 Pine Orchard Ct, Chesterfield, VA 23832-6665 | 2019-02-05 |
| 1295205284 | Sydney Erin Kilian | Specialist/Technologist, Other | 1633 New Land Rd, Chesapeake, VA 23322-1397 | 2018-12-03 |
| 1861972838 | Salem Gracee Ramirez | Specialist/Technologist, Other | 117 N 21st St Apt 8, Purcellville, VA 20132-5601 | 2018-08-18 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on MRS. ANGELA MAE POLK.
| 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.