COLLEEN POLAKOW (NPI# 1417153826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417153826 |
| Entity Type | Individual |
| Full Name | COLLEEN POLAKOW |
| Practice Address |
700 West Kent Missoula MT 59801-7000 |
| Mailing Address |
Po Box 4907 Missoula MT 59806-4907 |
| Practice Telephone | 4065413918 |
| Practice Fax Number | 4065413813 |
| Mailing Telephone | 4065413918 |
| Mailing Fax Number | 4065413813 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
700 WEST KENT |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528052305 | John Salisbury | Ophthalmology | 700 West Kent, Missoula, MT 59806-4907 | 2005-09-07 |
| 1437505708 | Aurora Needles | Technician/Technologist | 700 West Kent, Missoula, MT 59801-5719 | 2016-05-05 |
| 1780047399 | Connie Ployhar | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2016-03-31 |
| 1720456924 | Honeyrae King-campbell | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1871961078 | Jen Jones | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1932439775 | Patricia K Phillips | Technician/Technologist | 700 West Kent, Missoula, MT 59801-7000 | 2009-12-29 |
| 1972836898 | Misty Lynn Larocque | Technician/Technologist | 700 West Kent, Missoula, MT 59801 | 2009-09-10 |
| 1508042607 | Stewart R Ward | Optometrist | 700 West Kent, Missoula, MT 59801-7000 | 2008-01-18 |
| 1992904189 | Natalie Hinther | Technician/Technologist | 700 West Kent, Missoula, MT 59801-4000 | 2007-07-17 |
| 1053517466 | Paula Engdahl | Technician/Technologist | 700 West Kent, Missoula, MT 59801-7000 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513896 | Shoptikal LLC | Technician/Technologist | 3075 N Reserve St Ste F, Missoula, MT 59808-1390 | 2019-05-11 |
| 1962901355 | Melita Lynnette Schaefer | Technician/Technologist | 2910 S Reserve St Ste B, Missoula, MT 59801-7677 | 2018-02-12 |
| 1811374614 | Christy Wickund | Technician/Technologist | 601 W Spruce St Ste E, Missoula, MT 59802-4047 | 2015-04-30 |
| 1356588131 | Ronald Jay Bishop Jr. | Technician/Technologist | 3810 S 7th St W, Missoula, MT 59804-1916 | 2009-01-15 |
| 1437505708 | Aurora Needles | Technician/Technologist | 700 West Kent, Missoula, MT 59801-5719 | 2016-05-05 |
| 1780047399 | Connie Ployhar | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2016-03-31 |
| 1720456924 | Honeyrae King-campbell | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1871961078 | Jen Jones | Technician/Technologist | 700 West Kent, Missoula, MT 59801-6719 | 2015-09-04 |
| 1144609421 | Mary Shull | Technician/Technologist | 111 N Higgins Ave, Suite 107, Missoula, MT 59802-4437 | 2015-05-20 |
| 1760814404 | Wade A Everett | Technician/Technologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2013-08-05 |
| Find all providers in MISSOULA | ||||
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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.