DWIGHT LUKE POLIVKA (NPI# 1750399150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750399150 |
Entity Type | Individual |
Full Name | DWIGHT LUKE POLIVKA |
Credential | ARNP |
Practice Address |
137 Collegiate Way-fsu/tshc Tallahassee FL 32306-2140 |
Mailing Address |
3909 Royal Oaks Dr Tallahassee FL 32309-2546 |
Practice Telephone | 8506449496 |
Practice Fax Number | 8506440355 |
Mailing Telephone | 8506683407 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP2238582 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
137 COLLEGIATE WAY-FSU/TSHC |
City | TALLAHASSEE |
State | FL |
Zip Code | 32306-2140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477573335 | Stephanie M Mcgriff | Pharmacist | 137 Collegiate Way-fsu/tshc, Tallahassee, FL 32306-2140 | 2006-07-20 |
1992808257 | Mary A West | Nurse Practitioner | 137 Collegiate Way-fsu/tshc, Tallahassee, FL 32306-2140 | 2006-09-05 |
1619070976 | Sherri Lucky Green | Physician Assistant | 137 Collegiate Way-fsu/tshc, Tallahassee, FL 32306-2140 | 2006-09-05 |
1487661278 | Ying Mai Kung | Nurse Practitioner | 137 Collegiate Way-fsu/tshc, Tallahassee, FL 32306-2140 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083004576 | Brian Christopher Baldwin | Specialist/Technologist | 403 Stadium Dr. West, Room D1200, Tallahassee, FL 32306 | 2015-02-04 |
1679775738 | Christienne P Alexander | Family Medicine | 1115 W Call St Suite 3210-a, Tallahassee, FL 32306 | 2007-06-01 |
1376624585 | Debra Katz | Speech-Language Pathologist | 107 Regional Rehab, Florida State University, Tallahassee, FL 32306 | 2006-10-17 |
1215027685 | Catherine Vickers Johnson | Audiologist | 107 Regional Rehabiliation Center, Florida State University, Tallahassee, FL 32306 | 2006-10-13 |
1891885356 | Selena Brown Snowden | Audiologist | 107 Regional Rehabilitation Center, Florida State University Speech and Hearing Clinic, Tallahassee, FL 32306 | 2006-10-13 |
1831613058 | Christina Jones | Nurse Practitioner | 960 Learning Way, Tallahassee, FL 32306 | 2017-07-30 |
1376935734 | Iraida C Miller | Nurse Practitioner | 960 Learning Way, Tallahassee, FL 32306 | 2015-02-23 |
1295989762 | Erica L Mays | Pharmacist | 137 Collegiate Way - Fsu/tshc, Tallahassee, FL 32306 | 2008-11-11 |
1710929237 | Virginia P Cardenas | Nurse Practitioner | 960 Learning Way, Tallahassee, FL 32306 | 2006-06-11 |
1699334300 | Calogero D'anna | Dentist | 960 Learning Way #3400, Tallahassee, FL 32306-0001 | 2019-06-07 |
Find all providers in zip 32306 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486503 | Stephanie Patricia Chandler | Nurse Practitioner | 2221 Orange Ave E Apt 215, Tallahassee, FL 32311-6154 | 2020-10-30 |
1205435641 | Lillie Ruth Green | Nurse Practitioner | 1317 Blossom Cir, Tallahassee, FL 32305-6707 | 2020-10-17 |
1619594124 | Andriece Sampson | Nurse Practitioner | 1400 Village Square Blvd # 3-81600, Tallahassee, FL 32312-1250 | 2020-06-30 |
1598381519 | Marcelle Laurene Frehn | Nurse Practitioner | 2009 Miccosukee Rd Ste A, Tallahassee, FL 32308-5364 | 2020-06-25 |
1629693734 | Sara E Poslaiko | Nurse Practitioner | 4917 Vernon Rd, Tallahassee, FL 32317-7136 | 2020-06-15 |
1316562507 | Amanda Jean Simpson | Nurse Practitioner | 4405 Wesley Dr, Tallahassee, FL 32303-2447 | 2020-06-12 |
1255956934 | Kayla Anne Juszczyk | Nurse Practitioner | 2276 Wabash Trl, Tallahassee, FL 32303-8370 | 2020-06-09 |
1396367306 | Altheria Smith | Nurse Practitioner | 1537 Belmont Trce, Tallahassee, FL 32301-2814 | 2020-05-13 |
1922570837 | Jeremy Russell Fritzsche | Nurse Practitioner | 3554 Loma Farm Rd, Tallahassee, FL 32309-6324 | 2018-12-18 |
1902374002 | Ralph Michael Crowther | Nurse Practitioner | 1492 Applewood Way, Tallahassee, FL 32312-8085 | 2018-11-06 |
Find all providers in TALLAHASSEE |
City | TALLAHASSEE |
Zip Code | 32306 |
Please comment or provide details below to improve the information on DWIGHT LUKE POLIVKA.
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.