MR. STEPHEN G POLY


Address: 702 N 13th St, Artesia, NM 88210-1199
Phone: 5757483333

MR. STEPHEN G POLY (NPI# 1457445025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457445025
Entity Type Individual
Full Name MR. STEPHEN G POLY
Credential PA-C
Practice Address 702 N 13th St
Artesia
NM 88210-1199
Mailing Address Po Box 629
Artesia
NM 88211-2216
Practice Telephone 5757483333
Mailing Telephone 5757483333
Mailing Fax Number 5757488540
Enumeration Date 2006-10-03
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1275 Marvin Hancock Dr, Jasper, TX 759514935 4093815603 4093815604

Office Location

Street Address 702 N 13TH ST
City ARTESIA
State NM
Zip Code 88210-1199

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700881489 Deborah Kay Lehmann Obstetrics & Gynecology 702 N 13th St, Artesia, NM 88210-1199 2005-06-17
1598230112 Erica Elizabeth Guerrero Nurse Practitioner 702 N 13th St, Artesia, NM 88210-1166 2018-10-10
1164904330 Alexandria Leigh Lundell Physician Assistant 702 N 13th St, Artesia, NM 88210-1166 2018-09-04
1760977029 Erin Lin Miyashiro Family Medicine 702 N 13th St, Artesia, NM 88210-1166 2018-06-28
1578013504 Debra Kay Sapaugh Registered Nurse 702 N 13th St, Artesia, NM 88210-1166 2016-10-14
1346604402 Andrew Hyden Emergency Medicine 702 N 13th St, Artesia, NM 88210 2016-04-05
1053776708 Matthew Emerson Kaiser Physician Assistant 702 N 13th St, Artesia, NM 88210 2015-12-23
1013340546 Ruth Honey Covin-weeks Clinical Nurse Specialist 702 N 13th St, Artesia, NM 88210-1199 2013-08-20
1689017584 Horim Choi Orthopaedic Surgery 702 N 13th St, Artesia, NM 88210-1199 2013-04-10
1619283835 Sarah Katherine Haan Registered Nurse 702 N 13th St, Artesia, NM 88210 2010-08-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003452012 Blue Star Therapy, LLC Occupational Therapist 611 W. Mahone Dr., Artesia, NM 88210 2019-11-25
1245777382 Alise Mullen Registered Nurse 1806 W. Centre Ave, Artesia, NM 88210 2017-01-27
1376890285 Micki J Miller Massage Therapist 106 S. 7th. St., Artesia, NM 88210 2012-08-09
1396971222 Grammy's House Artesia Domestic Violence Shelter Inc. Social Worker 811 W Texas, Artesia, NM 88210 2009-06-05
1013143338 Yucca Health Care Centers Clinic/Center 606 North 13th Street, Artesia, NM 88210 2009-06-01
1205077310 Kay L. Younggren Dds Dentist 2520 W. Hermosa, Artesia, NM 88210 2009-03-19
1922264902 Sherry Rayne Moya Nurse Practitioner 702 13th Street, Artesia, NM 88210 2008-07-30
1679778054 Susan Emelie Trompeter Internal Medicine 702 N 13th St Ste 100, Artesia, NM 88210 2007-06-18
1952518292 D. Ann Sanders Registered Nurse 504 Gage, Artesia, NM 88210 2007-05-17
1366597908 Pecos Valley Regional Education Coop 8 Community/Behavioral Health 2218 W Grand Ave, Artesia, NM 88210 2007-01-24
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699272633 Walter Barney Physician Assistant 708 Luna Vis, Santa Fe, NM 87506-2003 2018-04-06
1225564800 Mariam H Bokolishvili Physician Assistant 1511 W Alameda St, Santa Fe, NM 87501-1746 2017-05-03
1295191351 Duke City Surgical Assisting LLC Physician Assistant 28 Valle Lindo Rd, Peralta, NM 87042-8230 2016-01-05
1396121505 Regina Gantt Physician Assistant 28 Valle Lindo Road, Peralta, NM 87042 2015-08-11
1013398072 Lauren Soules Physician Assistant 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 2015-06-16
1447666508 Audrey Rich Physician Assistant 201 Cedar Ave, Albuquerque, NM 87106 2014-07-09
1104178813 Adam M Newman Physician Assistant University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2012-10-04
1255682944 Armstrong Medical LLC Physician Assistant 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 2012-09-21
1033494992 Sandra Seward Physician Assistant 11 Calle Pinon, Placitas, NM 87043-9316 2011-10-11
1508161936 New Mexico Surgical Assisting, Inc Physician Assistant 1505 Kachina Ridge Dr, Santa Fe, NM 87507-5172 2011-01-15
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Competitor

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City ARTESIA
Zip Code 88210

Improve Information

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Dataset Information

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.

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