MRS. MARIA GWENDOLINE POLK (NPI# 1093838526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093838526 |
| Entity Type | Individual |
| Full Name | MRS. MARIA GWENDOLINE POLK |
| Credential | RN MSN GNP-BC |
| Practice Address |
4660 Beechnut St Ste 218-a Houston TX 77096-1824 |
| Mailing Address |
4660 Beechnut St Ste 218 Houston TX 77096-1825 |
| Practice Telephone | 7135210006 |
| Mailing Telephone | 7135210006 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
425936 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAILROAD | P00784266 | 01 |
| TX | BC/BS | 8Y3481 | 01 |
| TX | MEDICARE RAILROAD | P00731415 | 01 |
| TX | 190358502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992055438 | Maria Polk | Occupational Therapist | 1261 Ramona Ave, Lakewood, OH 44107-2631 | 2012-09-12 |
| 1134257272 | Maria Polk | Case Manager/Care Coordinator | 1622 Donaghey, Conway, AR 72034 | 2007-03-01 |
| Street Address |
4660 BEECHNUT ST STE 218-A |
| City | HOUSTON |
| State | TX |
| Zip Code | 77096-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356300420 | Vanguard Geriatrics Inc | Family Medicine | 4660 Beechnut St Ste 218-a, Houston, TX 77096-1824 | 2006-03-18 |
| 1689710444 | Shu Chen Chen | Nurse Practitioner | 4660 Beechnut St Ste 218-a, Houston, TX 77096-1824 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680420 | Sanitas Medical Center of Texas Pa | Family Medicine | 10101 S Post Rd, Houston, TX 77096 | 2020-02-07 |
| 1679113815 | Ashley Tolbert | Nurse Practitioner | 10101 S Post Oak Rd, Houston, TX 77096 | 2020-01-15 |
| 1992223564 | Elizabeth Olufuwa | Pharmacist | 9555 South Post Oak Road, Houston, TX 77096 | 2017-09-05 |
| 1063967776 | Safer Surgery Iom | Specialist/Technologist, Other | 5300 N Braeswood Blvd #127, Houston, TX 77096 | 2016-08-23 |
| 1811388754 | Dr G Internal Medicine Pa | Clinic/Center | 5895 S Braeswood Blvd, Houston, TX 77096 | 2015-02-13 |
| 1386044287 | Peoples Champ Physical Therapy LLC | Clinic/Center | 8715 South Loop West, Suite E, Houston, TX 77096 | 2014-08-27 |
| 1821403833 | Vicky Chi Vu | Optometrist | 238 Meyerland Plaza, Houston, TX 77096 | 2014-06-27 |
| 1013327279 | Angela Patrick | Pharmacist | 10707 Albury Dr., Houston, TX 77096 | 2014-04-28 |
| 1568702470 | Ks Pharm LLC | Pharmacy | 560 Meyerland Plaza, Houston, TX 77096 | 2013-03-01 |
| 1295081057 | Kathleen Lawson Dreher | Dentist | 4830 Imogene, Houston, TX 77096 | 2012-07-31 |
| Find all providers in zip 77096 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
| 1770113011 | Daniel Toussaint | Nurse Practitioner | 12323 Valley Hills Dr, Houston, TX 77071-3018 | 2020-01-24 |
| 1841830445 | Advanced Practice House Calls LLC | Nurse Practitioner | 9000 Almeda Rd Apt 3201, Houston, TX 77054-4327 | 2020-01-10 |
| 1629614854 | Kenneth Emordi | Nurse Practitioner | 10103 Fondren Rd Ste 464, Houston, TX 77096-4677 | 2019-11-22 |
| 1184260572 | Ann Williams | Nurse Practitioner | 5 Greenway Plz, Houston, TX 77046-0526 | 2019-11-21 |
| 1427515444 | Jessica Renaudo | Nurse Practitioner | 15015 Coral Sands Dr, Houston, TX 77062-2918 | 2019-02-26 |
| 1265958110 | Misida Gwanyebit-fodje | Nurse Practitioner | 18220 Texas 249 Access Road, 230, Houston, TX 77070 | 2017-08-22 |
| 1538684253 | Saera Chung | Nurse Practitioner | 6560 Fannin St Ste 1002, Houston, TX 77030-2713 | 2017-08-03 |
| 1881060093 | Cyprine Manduku | Nurse Practitioner | 8723 Auburn Glen Ln, Houston, TX 77095-4699 | 2015-08-12 |
| Find all providers in HOUSTON | ||||
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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.