MRS. JUNE HAZEL POLLYDORE (NPI# 1043376429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043376429 |
| Entity Type | Individual |
| Full Name | MRS. JUNE HAZEL POLLYDORE |
| Credential | M.D. |
| Practice Address |
285 W 12th St Ste 205 Peru IN 46970-1654 |
| Practice Telephone | 7654736400 |
| Mailing Telephone | 7654736400 |
| Mailing Fax Number | 2604792923 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01056412A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200384310 | 05 | |
| KY | 65937823 | 05 |
| Street Address |
285 W 12TH ST STE 205 |
| City | PERU |
| State | IN |
| Zip Code | 46970-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740374909 | Donna J. Sweetland | Obstetrics & Gynecology | 1436 Midtown Rd, Peru, IL 61354 | 2006-10-03 |
| 1417911900 | Robert S Kinsella | Obstetrics & Gynecology | 1631 4th St, Peru, IL 61354-3507 | 2006-04-13 |
| 1013915958 | Jeffrey S Edwards | Obstetrics & Gynecology | 1305 6th St, Peru, IL 61354-2759 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740815885 | Candice Marie Miles | Obstetrics & Gynecology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-03-09 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1417458225 | Arthur Galstian Md LLC | Obstetrics & Gynecology | 9240 N Meridian St Ste 180, Indianapolis, IN 46260-2065 | 2018-02-27 |
| 1225537319 | Jeannette Colon, M.d., P.C. | Obstetrics & Gynecology | 401 Wall St Unit A, Valparaiso, IN 46383-2585 | 2018-02-05 |
| 1497105761 | Jonathan Alford | Obstetrics & Gynecology | 4660 E 146th Street, Suite 100, Noblesville, IN 46060 | 2016-06-17 |
| 1598113458 | Zachary Christopher Dobbin | Obstetrics & Gynecology | 10215 Broadway Ste 207, Crown Point, IN 46307-8001 | 2016-06-01 |
| 1821446774 | Jessica Mae Healey | Obstetrics & Gynecology | 1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085 | 2016-06-01 |
| 1801240775 | Bridget Marie Kennedy | Obstetrics & Gynecology | 225 S Emmons St, Denver, IN 46926-2300 | 2016-04-18 |
| 1013370485 | Ashley Seidner | Obstetrics & Gynecology | 395 Westfield Rd # B, Noblesville, IN 46060-1425 | 2016-04-01 |
| 1508237272 | Columbus Regional Health Physicians, LLC | Obstetrics & Gynecology | 2450 Northpark Dr, Suite A, Columbus, IN 47203-2292 | 2015-10-07 |
| Find all providers with the same taxonomy | ||||
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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.