MS. THERESA ANN POLING (NPI# 1790982080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790982080 |
Entity Type | Individual |
Full Name | MS. THERESA ANN POLING |
Other Name | THERESA ANN POLING |
Credential | FNP-BC |
Practice Address |
11 N Locust St Buckhannon WV 26201-2231 |
Mailing Address |
812 Gorman Avenue Elkins WV 26241 |
Practice Telephone | 3044721600 |
Mailing Telephone | 3046373456 |
Mailing Fax Number | 3046373441 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2017-06-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 49062 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
49062 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810009382 | 05 |
Street Address |
11 N LOCUST ST |
City | BUCKHANNON |
State | WV |
Zip Code | 26201-2231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275558017 | Central Wv Medcorp, Inc. | Counselor | 11 N Locust St, Buckhannon, WV 26201-2231 | 2006-07-13 |
1033351234 | Gregory Michael Peters | Family Medicine | 11 N Locust St, Buckhannon, WV 26201-2231 | 2009-04-02 |
1124297346 | Central Wv Medcorp, Inc | Clinical Medical Laboratory | 11 N Locust St, Buckhannon, WV 26201-2231 | 2008-02-21 |
1144317421 | Ira Franklin Hartman | Family Medicine | 11 N Locust St, Buckhannon, WV 26201-2231 | 2006-10-06 |
1467463950 | Stephen Michael Smith | Internal Medicine | 11 N Locust St, Buckhannon, WV 26201-2231 | 2006-08-10 |
1043239817 | Johnny Dwayne Smith | Family Medicine | 11 N Locust St, Buckhannon, WV 26201-2231 | 2006-07-19 |
1346267119 | Kessa D. Thorpe | Physician Assistant | 11 N Locust St, Buckhannon, WV 26201-2231 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417570334 | Susan Boyce | Homemaker | 62692 Tallmasville Road, Buckhannon, WV 26201 | 2020-05-27 |
1316590177 | Jk Marketing, LLC | Clinic/Center | 4 Hartman Plaza, Buckhannon, WV 26201 | 2019-07-22 |
1841759412 | Deborah Lynn Wilson | Massage Therapist | 47 East Main St., Suite 202, Buckhann, WV 26201 | 2019-03-13 |
1275041766 | Town of Anmoore Vol Fire Dept | Ambulance | 100 S Ash Street, Anmoore, WV 26201 | 2018-01-18 |
1265824411 | Erik Brown | Specialist/Technologist | 36 College Avenue, Buckhannon, WV 26201 | 2015-02-25 |
1053735118 | Jonas Layne Phares | Chiropractor | Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 | 2014-02-10 |
1750621132 | Drew Foster Mason | Specialist/Technologist | 54 College Avenue, Box 1746, Buckhannon, WV 26201 | 2013-02-22 |
1295070241 | Cynthia Jean Hurst | Physician Assistant | 50 Bu Drive, Buckhannon, WV 26201 | 2012-12-03 |
1679876197 | Holly Evans | Pharmacist | Route 20 South, Buckhannon, WV 26201 | 2010-12-07 |
1407069990 | Upshur-buckhannon Health Department | Public Health or Welfare | 15 North Locust Street, Buckhannon, WV 26201 | 2007-05-08 |
Find all providers in zip 26201 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376140517 | Katheryn Sue Marsh | Nurse Practitioner | 94 W Main St Ste 202, Buckhannon, WV 26201-2376 | 2020-10-01 |
1629532452 | Integrative Family Medicine | Nurse Practitioner | 638 Mccartney Rd, Buckhannon, WV 26201-4516 | 2019-01-25 |
1376994947 | Np 2u | Nurse Practitioner | 1491 Radabaugh Ridge Rd, Buckhannon, WV 26201-6901 | 2016-06-24 |
1902277460 | Katherine Dever | Nurse Practitioner | 183 Holbrook Rd, Buckhannon, WV 26201-0029 | 2015-10-09 |
1386759686 | Amy R Coffman | Nurse Practitioner | 21 Auction Ln, Buckhannon, WV 26201-8968 | 2006-08-20 |
1316502859 | Angela Sue Mahaffey | Nurse Practitioner | 4 Northridge Dr Ste 118, Buckhannon, WV 26201-8484 | 2019-05-09 |
1285168542 | Donna Lee March | Nurse Practitioner | 4 Northridge Dr Ste 118, Buckhannon, WV 26201-8484 | 2017-04-13 |
1396152740 | Jennifer Abel | Nurse Practitioner | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2014-07-17 |
1184909806 | Amelia Roxie Barberio | Nurse Practitioner | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2011-10-13 |
1639326747 | Mary Elizabeth Hackney | Nurse Practitioner | 21 Auction Ln, Buckhannon, WV 26201-8968 | 2008-08-20 |
Find all providers in BUCKHANNON |
City | BUCKHANNON |
Zip Code | 26201 |
Please comment or provide details below to improve the information on MS. THERESA ANN POLING.
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.