PAUL VICTOR POLISHUK (NPI# 1487648754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487648754 |
Entity Type | Individual |
Full Name | PAUL VICTOR POLISHUK |
Credential | M.D. |
Practice Address |
215 S Hickory St Suite 114 Escondido CA 92025-4359 |
Mailing Address |
Po Box 33865 San Diego CA 92163-3865 |
Practice Telephone | 7607435111 |
Practice Fax Number | 8584297934 |
Mailing Telephone | 8588887700 |
Mailing Fax Number | 8588887721 |
Enumeration Date | 2005-09-01 |
Last Update Date | 2013-04-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | G84309 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G843090 | 05 |
Street Address |
215 S HICKORY ST SUITE 114 |
City | ESCONDIDO |
State | CA |
Zip Code | 92025-4359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487658720 | Jason P Van Dyke | Physical Therapist | 215 S Hickory St, Ste 224, Escondido, CA 92025-4393 | 2005-06-01 |
1659804938 | Russell Scott Kaczmar | Physical Therapist | 215 S Hickory St, Ste. 112, Escondido, CA 92025-4359 | 2017-04-04 |
1790228500 | Donna M. Ganley-o'brien | Occupational Therapist | 215 S Hickory St, Suite 112, Escondido, CA 92025-4359 | 2016-11-28 |
1659722320 | Gabriel Milo Perpetua Jr. | Physical Therapist | 215 S Hickory St, Suite 112, Escondido, CA 92025-4359 | 2016-06-23 |
1346690153 | Hospice Care of The Coast Inc | Hospice Care, Community Based | 215 S Hickory St, Suite 200, Escondido, CA 92025-4359 | 2016-06-13 |
1235572009 | Babette Anne Farmer | Massage Therapist | 215 S Hickory St, Suite 106, Escondido, CA 92025-4359 | 2013-04-11 |
1558671636 | Ednan Ahmed, M.d. Inc | Ophthalmology | 215 S Hickory St, #102, Escondido, CA 92025-4359 | 2010-10-07 |
1568775161 | Functionmd Medical Center | Physical Medicine & Rehabilitation | 215 S Hickory St, Suite 118, Escondido, CA 92025-4359 | 2010-07-23 |
1336346972 | Tania Lorena Rivera | Internal Medicine | 215 S Hickory St, Suite 114, Escondido, CA 92025-4359 | 2007-06-28 |
1891918694 | Paul V Polishuk Md Inc | Specialist | 215 S Hickory St, Suite 114, Escondido, CA 92025-4359 | 2007-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790747814 | Escondido Urology Medical Group Inc | Urology | 303 S Juniper St, Escondido, CA 92025-4924 | 2006-04-04 |
1508845983 | Philip C Bosch | Urology | 651 E Pennsylvania Ave, Ste 201, Escondido, CA 92025-3053 | 2006-01-12 |
1982028114 | Snaford Behrens | Urology | 255 N Elm St, Escondido, CA 92025-3431 | 2014-02-07 |
1831227461 | Thomas A Jones Md A Proffessional Corporation | Urology | 488 E Valley Pkwy, Suite 210, Escondido, CA 92025-3363 | 2007-03-02 |
1841392552 | Julian N. Anthony | Urology | 1955 Citracado Pkwy, Suite 302, Escondido, CA 92029-4110 | 2006-09-02 |
1326000282 | George N Riffle | Urology | 303 S Juniper St, Escondido, CA 92025-4924 | 2006-04-05 |
1922005859 | Thomas Allyn Jones | Urology | 215 S Hickory St, Suite 114, Escondido, CA 92025-4359 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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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.