MARK D POLOWAY (NPI# 1457438624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457438624 |
| Entity Type | Individual |
| Full Name | MARK D POLOWAY |
| Credential | PH.D. |
| Practice Address |
2181 El Camino Real Suite 205 Oceanside CA 92054-6222 |
| Mailing Address |
4006 Isle Dr Carlsbad CA 92008-3615 |
| Practice Telephone | 7606125490 |
| Practice Fax Number | 7608593002 |
| Mailing Telephone | 7606125490 |
| Mailing Fax Number | 7608593002 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY8883 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PK00088830 | 05 |
| Street Address |
2181 EL CAMINO REAL SUITE 205 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-6222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162048 | Lydia Warner | Psychologist | 3937 Jane Ln, Oceanside, NY 11572-5928 | 2017-09-01 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1891035747 | Health Psychology Center, P.C. | Psychologist | 2181 S El Camino Real Ste 204, Oceanside, CA 92054-6288 | 2013-02-28 |
| 1487935524 | Denise Marie Kruszewski | Psychologist | 4491 Brisbane Way, Unit 2, Oceanside, CA 92058-0647 | 2011-09-02 |
| 1609155506 | Allison L Elkoubi | Psychologist | 3374 5th St, Oceanside, NY 11572-5118 | 2011-08-09 |
| 1508179797 | Connie Axelson | Psychologist | 15 Nantucket Ln, Oceanside, NY 11572-4435 | 2010-07-16 |
| 1215110911 | Linda M Comin | Psychologist | 1816 Magnolia Ct, Oceanside, CA 92054-0601 | 2007-12-17 |
| 1124149224 | Shelley Chernoff Kramer | Psychologist | 2181 S El Camino Real Ste 305, Oceanside, CA 92054-6288 | 2007-04-03 |
| 1467586701 | Brock Kenneth Kilbourne | Psychologist | 2181 S El Camino Real Ste 307, Oceanside, CA 92054-6288 | 2007-03-16 |
| 1558490904 | Ralph Lamagna | Psychologist | 266 Links Dr, Oceanside, NY 11572-5623 | 2007-03-03 |
| Find all providers in OCEANSIDE | ||||
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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.