Lisa Erin Polko (NPI# 1841250651, PAC ID# 4183701774) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1841250651 |
| PAC ID by PECOS | 4183701774 |
| Professional Enrollment ID | I20100907000626 |
| Full Name | Lisa Erin Polko |
| Organization Legal Name | SOUTHERN MARYLAND WOMEN'S HEALTHCARE, PA |
| Address |
41680 Miss Bessie Dr Suite 102 Leonardtown MD 20650-2963 |
| Phone Number | 3019971788 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7911084504 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 | 3019971788 | SOUTHERN MARYLAND WOMEN'S HEALTHCARE, PA |
| Organization Legal Name | SOUTHERN MARYLAND WOMEN'S HEALTHCARE, PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Renee Waytashek | Certified Nurse Midwife (cnm) | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Lauren Ervin | Certified Nurse Midwife (cnm) | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Rachelle Marie Tomaszeski | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Amy Ramthun | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Nnamdi A Davis | Obstetrics/gynecology | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Eva Thompson | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Kaitlyn Estelle Mole | Certified Nurse Midwife (cnm) | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Susan Lufkin-curtis | Certified Nurse Midwife | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Mallory Kincade | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Nancy A Sidorowicz | Physician Assistant | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Street Address |
41680 MISS BESSIE DR SUITE 102 |
| City | LEONARDTOWN |
| State | MD |
| Zip | 20650-2963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Renee Waytashek | Certified Nurse Midwife (cnm) | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Michelle Mccloskey | Occupational Therapy | Sense-ability, LLC | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2963 |
| Lauren Ervin | Certified Nurse Midwife (cnm) | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Rachelle Marie Tomaszeski | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Ashley Dearstine | Nurse Practitioner | Medstar Medical Group II LLC | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 |
| Maria L Obrien | Family Medicine | Medstar Medical Group II LLC | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 |
| Amy Ramthun | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
| Tiffany Wilson | Nurse Practitioner | Medstar Medical Group II LLC | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 |
| Jennifer Roman | Physical Therapy | Sense-ability, LLC | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2963 |
| Yvette M Mccoy | Qualified Speech Language Pathologist | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2963 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Marie Miller | Physician Assistant | Verghese and Ling M.d.p.a. | 26840 Point Lookout Rd, Leonardtown, MD 20650 |
| Sabrina A Sepulveda | Nurse Practitioner | 41630 Couthouse Dr, Leonardtown, MD 20650 | |
| Rhonda Cox | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Danielle Luray Guy | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Bonnie L Torres | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Jeremy Thurman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Lauren Snyder | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Aaron Bauer | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Richard S Hageman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Laura P Ward | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Find all physicians in zip 20650 | |||
| City | LEONARDTOWN |
| Zip Code | 20650 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LEONARDTOWN + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.