Polina A Kokoulina (NPI# 1013342468, PAC ID# 4183859606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013342468 |
| PAC ID by PECOS | 4183859606 |
| Professional Enrollment ID | I20131108000316 |
| Full Name | Polina A Kokoulina |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Address |
3025 W Cherry Ln Meridian ID 83642-8531 |
| Phone Number | 2083026400 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3476462359 |
| Number of Group Practice Members | 468 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1055 N Curtis Rd, Boise, ID 83706-1309 | 2083672145 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 900 N Liberty St, Suite 101, Boise, ID 83704-8858 | 2083022200 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2083026400 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Physicians | 481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micah Tobin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 315 E Elm St, Suite 100, Caldwell, ID 83605-4858 |
| Jayne A Derr | Clinical Social Worker | Saint Alphonsus Regional Medical Center Inc | 131 N Allumbaugh St, Boise, ID 83704-9204 |
| Michael R Partin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 3123 Medical Dr, Caldwell, ID 83605-6972 |
| Ondrej Choutka | Neurosurgery | Saint Alphonsus Regional Medical Center Inc | 1072 N Liberty St, Boise, ID 83704-8708 |
| Mitchell A Mendenhall | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 11035 Karcher Rd, Nampa, ID 83651-8200 |
| Erika V Aragona | Osteopathic Manipulative Medicine | Saint Alphonsus Regional Medical Center Inc | 3217 W Bavaria St, Eagle, ID 83616-5171 |
| Todd R Woodward | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 6051 W Emerald St, Boise, ID 83704-8969 |
| Alanna E Lilly | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Jennifer S Anderson | Cardiovascular Disease (cardiology) | Saint Alphonsus Regional Medical Center Inc | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| Street Address |
3025 W CHERRY LN |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-8531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Vanderpol | Qualified Audiologist | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Jennifer A Hofstra | Hospitalist | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Carl Ciplinski | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Aziz G Munayirji | General Surgery | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Joshua E Durham | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Derrel V Walker | Hospitalist | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Janat E O Donnell | Pulmonary Disease | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Sis E Ostolasa | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Sheila M Giffen | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Michael J Coughlin | Orthopedic Surgery | Saint Alphonsus Regional Medical Center Inc | 3025 W Cherry Ln, Meridian, ID 83642-8531 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MERIDIAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Polina A Kokoulina.
| 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.