POLLY LOVE MCCORMACK (NPI# 1376549089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376549089 |
Entity Type | Individual |
Full Name | POLLY LOVE MCCORMACK |
Credential | MD |
Practice Address |
5851 Duluth St Ste 215 Golden Valley MN 55422-3956 |
Practice Telephone | 7635468422 |
Practice Fax Number | 7635468114 |
Mailing Telephone | 7635468422 |
Mailing Fax Number | 7635468114 |
Enumeration Date | 2005-06-27 |
Last Update Date | 2013-04-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 28473 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS OF MN | 54817MC | 01 |
MN | RAILROAD MEDICARE | 180009769 | 01 |
MN | MEDICA CHOICE | 0818315 | 01 |
MN | 967888300 | 05 |
Street Address |
5851 DULUTH ST STE 215 |
City | GOLDEN VALLEY |
State | MN |
Zip Code | 55422-3956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134125859 | Steven Jay Grosser | Ophthalmology | 5851 Duluth St, Ste 215, Golden Valley, MN 55422-3956 | 2005-06-27 |
1124689898 | Jessica Lyn Mcfarlane Dreischmeier | Marriage & Family Therapist | 5851 Duluth St, Golden Valley, MN 55422-3946 | 2019-06-24 |
1750839551 | Lura Smedstad | Counselor | 5851 Duluth St, Suites # 306 & 316, Golden Valley, MN 55422-3946 | 2016-09-21 |
1225411176 | Pathways Chiropractic Center | Clinic/Center | 5851 Duluth St, Suite 115, Golden Valley, MN 55422-3946 | 2015-07-09 |
1154712008 | Lawrence Nutter | Psychoanalyst | 5851 Duluth St, Suite #306, Golden Valley, MN 55422-3946 | 2015-02-13 |
1619377256 | Tara Gaffney | Counselor | 5851 Duluth St, Golden Valley, Golden Valley, MN 55422-3946 | 2014-09-02 |
1659611333 | Dan B Ang, Dds,llc | Dentist | 5851 Duluth St, Suite 313, Golden Valley, MN 55422-3946 | 2013-02-18 |
1447509930 | Nathan Gregory Cutlan | Counselor | 5851 Duluth St, Suite 202, Golden Valley, MN 55422-3946 | 2012-08-30 |
1992060594 | Andrea T Rossow | Optometrist | 5851 Duluth St, Suite 215, Golden Valley, MN 55422-3946 | 2012-07-10 |
1518228378 | Twin Cities Therapy and Counseling Associates, Pllc | Marriage & Family Therapist | 5851 Duluth St, Suite 202, Golden Valley, MN 55422-3946 | 2012-06-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
1942288659 | Charles S Ostrov | Ophthalmology | 5657 Duluth St, Golden Valley, MN 55422-4054 | 2006-01-03 |
1295713154 | Bonnie F Bongard | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-01-02 |
1134125859 | Steven Jay Grosser | Ophthalmology | 5851 Duluth St, Ste 215, Golden Valley, MN 55422-3956 | 2005-06-27 |
1992044432 | Northwest Eye Clinic, LLC | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2013-02-04 |
1417213430 | John Patrick O'neill | Ophthalmology | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2012-04-03 |
1821327883 | Adam John Gess | Ophthalmology | 5851 Duluth Street, Suite 215, Golden Valley, MN 55422 | 2009-12-21 |
1316002801 | West Metro Ophthalmology | Ophthalmology | 5851 Duluth St, Suite 215, Golden Valley, MN 55422-3946 | 2006-12-26 |
1346326196 | Northwest Eye Clinic, P.a. | Ophthalmology | 5657 Duluth St, Golden Valley, MN 55422-4054 | 2006-10-27 |
1730138595 | Marni G Feldmann | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-05-09 |
Find all providers in GOLDEN VALLEY |
City | GOLDEN VALLEY |
Zip Code | 55422 |
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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.