VAN N POLGLASE (NPI# 1609809839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609809839 |
| Entity Type | Individual |
| Full Name | VAN N POLGLASE |
| Other Name | VAN N POLGLASE |
| Credential | M.D. |
| Practice Address |
1159 W Sample Ave Fresno CA 93711-2028 |
| Practice Telephone | 5594397888 |
| Practice Fax Number | 5594356887 |
| Mailing Telephone | 5594397888 |
| Mailing Fax Number | 5594356887 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C33735 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1159 W SAMPLE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639463417 | Danilo R Manimtim M D Inc Danilo R Manimtim Pres | Orthopaedic Surgery | 6101 N Fresno St Ste 101, Fresno, CA 93710-8606 | 2011-06-08 |
| 1730483769 | Joseph T Christensen | Orthopaedic Surgery | 7300 N Fresno St Dept Of, Fresno, CA 93720-2941 | 2011-01-05 |
| 1750562336 | Prospice Medical Group Corporation | Orthopaedic Surgery | 4770 N Cedar Ave, Fresno, CA 93726-1065 | 2007-11-23 |
| 1558454546 | Sanagaram S Shantharam | Orthopaedic Surgery | 7065 N Maple Ave, Ste 102, Fresno, CA 93720-8013 | 2006-10-02 |
| 1508962119 | Donald Robert Huene | Orthopaedic Surgery | 201 N Valeria St, Fresno, CA 93701-2123 | 2006-09-15 |
| 1952411423 | Daniel Robert Baxter | Orthopaedic Surgery | 2210 E. Illinois Ave, Suite 401, Fresno, CA 93701 | 2006-08-30 |
| 1467568550 | Don Kevin Lester | Orthopaedic Surgery | 6085 N First St #101, Fresno, CA 93710-5465 | 2006-08-22 |
| 1386757409 | Peter D. Mcgann | Orthopaedic Surgery | 7255 N Cedar Ave Ste 101, Fresno, CA 93720-3831 | 2006-08-15 |
| 1881603256 | Arthroscopic Surgery Associates Corporation | Orthopaedic Surgery | 7255 N Cedar Ave, Suite 102, Fresno, CA 93720-3831 | 2006-08-05 |
| 1558389965 | Charles Huppert Touton | Orthopaedic Surgery | 213 N Valeria St, Fresno, CA 93701-2123 | 2006-07-17 |
| Find all providers in FRESNO | ||||
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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.