TRACY POLAK (NPI# 1053388322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053388322 |
| Entity Type | Individual |
| Full Name | TRACY POLAK |
| Credential | NP |
| Practice Address |
55 Arch St Ste 2h Akron OH 44304-1423 |
| Mailing Address |
Po Box 26010 Akron OH 44319-6010 |
| Practice Telephone | 3303754100 |
| Mailing Telephone | 8883284534 |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN25262 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2569860 | 05 | |
| OH | OHIO WORKER COMPENSATION | 34145806900 | 01 |
| Street Address |
55 ARCH ST STE 2H |
| City | AKRON |
| State | OH |
| Zip Code | 44304-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592980 | Leila Denise Moser | Nurse Practitioner | 55 Arch St, Akron, OH 44304-1423 | 2005-07-20 |
| 1962963892 | Thomas Keefe Wright | Student in an Organized Health Care Education/Training Program | 55 Arch St, Ste 1b, Akron, OH 44304 | 2019-03-25 |
| 1790280493 | Jeff Preston | Counselor | 55 Arch St, Akron, OH 44304-1423 | 2018-03-26 |
| 1972002202 | Brianna Deetz | Social Worker | 55 Arch St, Akron, OH 44304-1423 | 2018-02-01 |
| 1467986257 | Amir Yeganeh | Student in an Organized Health Care Education/Training Program | 55 Arch St, Suite 1b, Internal Medicine Center, Akron, OH 44304-1423 | 2017-04-18 |
| 1154855443 | Garen Wolff | Student in an Organized Health Care Education/Training Program | 55 Arch St, Suite 1b, Akron, OH 44304-1423 | 2017-04-13 |
| 1699208793 | Syed Rashdi Ahmed | Psychiatry & Neurology | 55 Arch St, Ste 1b, Akron, OH 44304-1423 | 2017-04-05 |
| 1154853182 | Myron Zhang | Student in an Organized Health Care Education/Training Program | 55 Arch St, Ste 1b, Akron, OH 44304-1423 | 2017-03-29 |
| 1811429095 | Michael William Graham | Student in an Organized Health Care Education/Training Program | 55 Arch St, Suite 1b, Akron, OH 44304-1423 | 2017-03-28 |
| 1912438474 | Jessa Marie Tunacao | Student in an Organized Health Care Education/Training Program | 55 Arch St, Summahealth/internal Medicine Suite 1b, Akron, OH 44304-1423 | 2017-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
| Find all providers in zip 44304 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342138 | Tabetha Staten | Nurse Practitioner | 767 E Turkeyfoot Lake Rd Ste 3, Akron, OH 44319-4128 | 2017-08-22 |
| 1881201044 | Todd Jay Painter | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-30 |
| 1326655796 | Dawn Nabors | Nurse Practitioner | 75 Arch St Ste G2, Akron, OH 44304-1430 | 2020-09-29 |
| 1144857244 | Christin Melissa Boozer | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-03-26 |
| 1982064119 | Kristin Roberts | Nurse Practitioner | 75 Arch St, Suite G2, Akron, OH 44304-1429 | 2016-03-01 |
| 1396144838 | Kristina L Robinson | Nurse Practitioner | 1069 Kenmore Blvd, Akron, OH 44314-2157 | 2014-08-21 |
| 1467429498 | Patricia Gossett | Nurse Practitioner | 55 Arch St, Ste 2h, Akron, OH 44304-1423 | 2006-03-08 |
| 1609843978 | Beth Ezzie | Nurse Practitioner | 75 Arch St Ste G2, Akron, OH 44304-1430 | 2006-03-04 |
| 1154398428 | Sarah Gedeon | Nurse Practitioner | 55 Arch St, Ste 2h, Akron, OH 44304-1423 | 2006-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1649879032 | Danielle Wines | Nurse Practitioner | 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 | 2020-10-19 |
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1912516709 | Susan Marie Hessey | Nurse Practitioner | 4502 Satinwood Dr, Toledo, OH 43623-3350 | 2020-07-28 |
| 1518585728 | Diane Louise Lamb | Nurse Practitioner | 3163 Hook Waltz Rd E, Elida, OH 45807-9555 | 2020-07-14 |
| 1215553052 | Jennifer Cordray | Nurse Practitioner | 5452 Grace Dr, Mentor, OH 44060-1500 | 2020-06-17 |
| 1053943134 | Chunyan Mcelroy | Nurse Practitioner | 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 | 2020-02-06 |
| 1790324432 | Ashley Nicole Neely | Nurse Practitioner | 890 Oakwood Dr, Alliance, OH 44601-5435 | 2019-12-28 |
| 1710530357 | Christine Marie Hoover | Nurse Practitioner | 65 Community Rd Ste C, Tallmadge, OH 44278-2358 | 2019-07-23 |
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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.