JUDITH POLAK (NPI# 1356423867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356423867 |
| Entity Type | Individual |
| Full Name | JUDITH POLAK |
| Credential | CNNP |
| Practice Address |
1 Stadium Drive Morgantown WV 26506 |
| Mailing Address |
Po Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984800 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
29381 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001469 | 05 |
| Street Address |
1 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1114270105 | Tiffany D Lannan | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2012-10-16 |
| 1730438078 | Amanda Kessler | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506 | 2012-08-31 |
| 1205195971 | Hilary Elaine Morley | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-15 |
| 1780943977 | Wvu Hospitals | Student in an Organized Health Care Education/Training Program | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-09 |
| 1770852519 | Stephanie A Olcese | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2011-12-23 |
| 1578846762 | Stephania Amanda Acord | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506-7911 | 2011-09-23 |
| 1831471424 | Terri Lynn Marcischak | Registered Nurse | 1 Stadium Drive, Wvu Hospitals, Morgantown, WV 26506 | 2011-09-09 |
| 1346538931 | Brian Daniel Connolly | Radiology | 1 Stadium Drive, Morgantown, WV 26505 | 2011-07-16 |
| 1356634927 | Lisa Marie Costello | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132286 | Sabrina Rhoads | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-07-24 |
| 1831741560 | Dana Walters | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-07-12 |
| 1780236745 | Erica Marsh | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-07-10 |
| 1740756931 | Meghan Cooper | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-10-16 |
| 1215309380 | Cierra Kochy | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-10-28 |
| 1528451275 | Tiffany Blosser | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-03-05 |
| 1245675602 | Sharon Ann Griffith | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2013-04-30 |
| 1235448366 | Nicole D Puccio | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2010-10-07 |
| 1538491865 | Emily Rebecca Fox | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506 | 2010-02-11 |
| 1215051826 | Debra A Lauffer | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2007-03-19 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on JUDITH POLAK.
| 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.