DR. INGRID C POLCARI (NPI# 1992976716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992976716 |
Entity Type | Individual |
Full Name | DR. INGRID C POLCARI |
Credential | M.D. |
Practice Address |
2450 Riverside Ave 12th Floor Explorer Clinic Minneapolis MN 55454-1450 |
Mailing Address |
420 Delaware St Se Mayo Mail Code 98 Minneapolis MN 55455-0392 |
Practice Telephone | 6123656777 |
Mailing Telephone | 6126258625 |
Enumeration Date | 2008-03-19 |
Last Update Date | 2012-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
54976 | MN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 036120215 | IL | Allopathic & Osteopathic Physicians |
Street Address |
2450 RIVERSIDE AVE 12TH FLOOR EXPLORER CLINIC |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-1450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568462570 | Sreejaya Veluvali | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2005-08-01 |
1588265375 | Fairview Health Services | General Acute Care Hospital | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-11-06 |
1215535927 | Katrina Joelle Christian | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 | 2020-10-14 |
1023616208 | Jodi Renee Nelson | Psychologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-11 |
1912504150 | Pamela Norling | Counselor | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
1225635345 | Trevor Ryan Goldsmith | Nurse Anesthetist, Certified Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
1215534342 | Michelle L White | Marriage & Family Therapist | 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 | 2020-10-01 |
1295341048 | Tobias Zander Donlon | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-17 |
1417562497 | Megan Farr | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-15 |
1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
Find all providers in zip 55454 |
Taxonomy Code | 207NP0225X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Pediatric Dermatology |
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619381381 | Cynthia Lynn Nicholson | Dermatology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-20 |
1053465641 | Kristen Paige Hook | Dermatology | 2450 Riverside Ave, Clinic 12e, Minneapolis, MN 55454-1450 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679796429 | Sheilagh M Maguiness | Dermatology | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2007-04-10 |
1053417055 | Dermatology Center for Children & Young Adults Pa | Dermatology | 2795 Pilot Knob Rd, Suite 300, Eagan, MN 55121-1176 | 2006-09-16 |
City | MINNEAPOLIS |
Zip Code | 55454 |
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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.