DR. ELENA L POLUKHIN (NPI# 1336187814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336187814 |
| Entity Type | Individual |
| Full Name | DR. ELENA L POLUKHIN |
| Credential | MD, PHD |
| Practice Address |
3015 Utah Ave S Suite 200 Saint Louis Park MN 55426-3671 |
| Mailing Address |
3006 Frank St Maplewood MN 55109-5501 |
| Practice Telephone | 9529331121 |
| Practice Fax Number | 9529459536 |
| Mailing Telephone | 6516990633 |
| Mailing Fax Number | 6517973592 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 45600 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 630074000 | 05 |
| Street Address |
3015 UTAH AVE S SUITE 200 |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55426-3671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982648051 | Scott Wagner | Physical Therapist | 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 | 2006-06-16 |
| 1255374674 | Lois Brisco | Physical Therapist | 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 | 2006-06-14 |
| 1245272186 | William C Harralson | Chiropractor | 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 | 2006-06-12 |
| 1568404440 | Jacob Isaac Mirman | Internal Medicine | 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 | 2006-06-12 |
| 1639117559 | Leon Boris Frid | Chiropractor | 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275507386 | Paul J Amundson | Physical Medicine & Rehabilitation | 3800 Park Nicollet Blvd, Saint Louis Park, MN 55416-2527 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931349 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 1463 White Oak Dr, Chaska, MN 55318-2525 | 2020-01-13 |
| 1497225742 | Jessica Lynch | Physical Medicine & Rehabilitation | 2015 Hennepin Ave N, Glencoe, MN 55336-1446 | 2018-11-29 |
| 1306323514 | Peggy Golembeck | Physical Medicine & Rehabilitation | 6211 Alden Way Ne, Fridley, MN 55432-4824 | 2018-07-20 |
| 1225523970 | Burnsville Surgery Center, P.a. | Physical Medicine & Rehabilitation | 14551 County Road 11 Ste 110, Burnsville, MN 55337-4735 | 2018-06-26 |
| 1790291748 | Allied Physical Therapy LLC | Physical Medicine & Rehabilitation | 506 E Kenny Road, Suite 100, Saint Paul, MN 55130-4555 | 2017-12-28 |
| 1336655521 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 14551 County Road 11 Ste 100, Burnsville, MN 55337-4799 | 2017-12-26 |
| 1336677855 | Matthew David Hodgden | Physical Medicine & Rehabilitation | 1522 N Riverfront Dr, Mankato, MN 56001 | 2017-05-29 |
| 1902264278 | Andrew Steiner | Physical Medicine & Rehabilitation | 1673 Interlaken Ct, Waconia, MN 55387-2200 | 2016-02-02 |
| 1841655156 | Summit Orthopedics, Ltd | Physical Medicine & Rehabilitation | 2800 Chicago Ave Ste 402, Minneapolis, MN 55407-1352 | 2015-12-31 |
| 1750797072 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 7270 Forestview Ln N Ste 100, Maple Grove, MN 55369-5555 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55426 |
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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.