STEPHAN NICHOLAS POLANSKY


Address: 9440 Poppy Dr, Dallas, TX 75218-3652
Phone: 2142025395

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 39 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9440 POPPY DR
City DALLAS
State TX
Zip Code 75218-3652

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City DALLAS
Zip Code 75218

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Dataset Information

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.

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