STEPHAN NICHOLAS POLANSKY (NPI# 1841543980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841543980 |
Entity Type | Individual |
Full Name | STEPHAN NICHOLAS POLANSKY |
Credential | PA-C |
Practice Address |
9440 Poppy Dr Dallas TX 75218-3652 |
Mailing Address |
6160 Windhaven Pkwy Ste. 210 Plano TX 75093-8099 |
Practice Telephone | 2142025395 |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 39 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9440 POPPY DR |
City | DALLAS |
State | TX |
Zip Code | 75218-3652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104880640 | William Larry Elder | Emergency Medicine | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2006-04-13 |
1255944310 | Christopher Gerald Scott | Specialist/Technologist, Other | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-08-28 |
1265057376 | Johnathan Mckennis | Counselor | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-06-15 |
1548892714 | City Hospital Physician Group Inc | Clinic/Center | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2020-02-06 |
1700443421 | Pipeline East Dallas LLC | Clinic/Center | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2019-05-29 |
1578057212 | Kevin Laval Burchfield | Specialist/Technologist, Other | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-06-16 |
1083103501 | Kingston Emergency Physicians Medical Group Pllc | Emergency Medicine | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-05-10 |
1992294417 | Canyon Oaks Hospitalist Medical Group Pllc | Hospitalist | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-05-10 |
1083112023 | Pipeline East Dallas LLC | General Acute Care Hospital | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2018-01-24 |
1598138919 | Bt East Dallas Jv, LLP | General Acute Care Hospital | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2015-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
Find all providers in zip 75218 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
1275151102 | Kelly Ashworth | Physician Assistant | 7331 Gaston Ave # 180, Dallas, TX 75214-4131 | 2020-07-07 |
1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
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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.