VIARDA L. POLANCO ZACARIAS (NPI# 1902202096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902202096 |
| Entity Type | Individual |
| Full Name | VIARDA L. POLANCO ZACARIAS |
| Credential | M.D |
| Practice Address |
113 Liner Dr Greenwood SC 29646-2311 |
| Practice Telephone | 8649418170 |
| Mailing Telephone | 8649418170 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MMD 37947 MD | SC | Allopathic & Osteopathic Physicians |
| Street Address |
113 LINER DR |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657870 | Juan Miguel Bonetti | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2005-05-31 |
| 1760920565 | Ashley B Mcdaniel | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-2311 | 2017-02-01 |
| 1982084042 | Brandy Ann Mcgarity | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-2311 | 2015-06-04 |
| 1669877908 | Clarissa Reynoso | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2014-10-29 |
| 1790930634 | Mary Allison Mccaskill | Social Worker | 113 Liner Dr, Greenwood, SC 29646-2311 | 2008-11-19 |
| 1407074784 | Angela R O'dell | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-2311 | 2007-04-23 |
| 1972636025 | Carolina Health Centers, Inc. | Clinic/Center | 113 Liner Dr, Greenwood, SC 29646-2311 | 2007-03-14 |
| 1972545101 | Pollyana Lam | Pediatrics | 113 Liner Dr, Greenwood, SC 29646-2311 | 2006-06-12 |
| 1407811094 | Brenda Jane Wulfekotte | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-8513 | 2006-04-18 |
| 1548233422 | Cheryl Darlene Platt | Nurse Practitioner | 113 Liner Dr, Greenwood, SC 29646-2311 | 2006-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715539 | Happicare One LLC Ppec Pediatric Daycare | Pediatrics | 213 W Park Ave, Greenwood, MS 38930-3008 | 2017-08-03 |
| 1497072532 | Ryan Timothy Grimm | Pediatrics | 333 E County Line Road, Suite B, Greenwood, IN 46143-1080 | 2010-04-29 |
| 1043420078 | Jennifer Lynn Havener | Pediatrics | 333 E County Line Rd Ste B, Greenwood, IN 46143 | 2007-05-22 |
| 1952357667 | Brenda P Viegas | Pediatrics | 360 S Madison Ave, # 210, Greenwood, IN 46142-3150 | 2006-05-25 |
| 1790754000 | Billy Boldon | Pediatrics | 1405 Strong Ave, Greenwood, MS 38930-4035 | 2006-03-17 |
| 1649245101 | Marjorie E Lake | Pediatrics | 3209 W Smith Valley Rd, Ste. 251, Greenwood, IN 46142-8495 | 2006-02-20 |
| 1386620961 | Jeremy Wade Roscoe | Pediatrics | 401 Camby Ct, Greenwood, IN 46142-4085 | 2005-12-15 |
| 1649252610 | Erica R Fledderjohn | Pediatrics | 900 Averitt Rd, Greenwood, IN 46143-9540 | 2005-11-16 |
| 1215919295 | Christina C Fox | Pediatrics | 1703 W Stones Crossing Rd Ste 330, Greenwood, IN 46143-8558 | 2005-11-16 |
| 1962403436 | Clark Kramer | Pediatrics | 1040 Sierra Drive, Suite 400, Greenwood, IN 46143-7241 | 2005-08-09 |
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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.