MICHAEL DAVID POLIFKA (NPI# 1760430854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760430854 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID POLIFKA |
| Credential | M.D. |
| Practice Address |
39 Sage Hill Rd Torbank #23 Manchester Center VT 05255 |
| Mailing Address |
Po Box 752 Manchester Center VT 05255 |
| Practice Telephone | 4136645000 |
| Mailing Telephone | 4136645000 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 158697 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
39 SAGE HILL RD TORBANK #23 |
| City | MANCHESTER CENTER |
| State | VT |
| Zip Code | 05255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920031 | Dakota Malik | Naturopath | 5138 Main Sreet, Manchester Center, VT 05255 | 2020-10-21 |
| 1619502648 | Kathleen Baroody | Counselor | 5312 Main Steet, Manchester Center, VT 05255 | 2020-03-10 |
| 1255971917 | Katherine Alice Schlageter | Psychologist | 5429 Main Street, Office C-2, Manchester Center, VT 05255 | 2020-01-10 |
| 1316332075 | Green Mountain House Calls, LLC | Nurse Practitioner | 994 Dorset West Road, Dorset, VT 05255 | 2015-03-31 |
| 1962727826 | Tamra F Mooney | Occupational Therapist | 3511 Richville Rd, Manchester, VT 05255 | 2010-04-05 |
| 1760649214 | Eric R Nisenson | Durable Medical Equipment & Medical Supplies | 7252 Main Street, Manchester Center, VT 05255 | 2008-05-21 |
| 1659591774 | Manchester Eye Care PC | Technician/Technologist | Village Mall 4363 Rte 7a, Manchester Center, VT 05255 | 2007-04-30 |
| 1306979687 | Geoffry Lee Campe | Dentist | 107 Bonnet St, Manchester Center, VT 05255 | 2007-03-14 |
| 1316087828 | John Ottesen | Dentist | 74 Longview Drive, Manchester Center, VT 05255 | 2007-02-07 |
| 1568526226 | Catherine Cech | Dentist | 5271 Main Street, Manchester Ctr, VT 05255 | 2006-12-20 |
| Find all providers in zip 05255 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346453834 | Thomas A Sterling | Emergency Medicine | 34 Bonnet St, Manchester Center, VT 05255-8920 | 2007-05-08 |
| 1730682766 | Manchester Medical Center LLC | Emergency Medicine | 34 Bonnet St, Manchester Center, VT 05255-8920 | 2018-03-15 |
| 1588810428 | Janel Marie Kittredge | Emergency Medicine | 34 Bonnet St, Manchester Center, VT 05255-8920 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922449115 | Luay Mrad | Emergency Medicine | 111 Colchester Ave # 222wp2, Burlington, VT 05401-1473 | 2013-07-16 |
| 1629129820 | Suzanne K Elliott | Emergency Medicine | 28 Tuckaway Pond Ln, Colchester, VT 05446-1123 | 2007-01-15 |
| 1609923259 | Austin D Sumner | Emergency Medicine | 244 Granger Road, Berlin, VT 05602-9516 | 2007-01-05 |
| 1063589851 | David W Hobbs | Emergency Medicine | 564 Us Rt #2, South Hero, VT 05486 | 2006-11-29 |
| 1508963596 | Susan Betty Carol | Emergency Medicine | 133 Faifield St., St. Albans, VT 05478 | 2006-09-20 |
| 1104850171 | Roberto B. Abeyta | Emergency Medicine | 9 Dugway Rd, Rutland, VT 05701-9819 | 2006-07-10 |
| 1326072281 | Wayne Anton Misselbeck | Emergency Medicine | 36 S Main St, Gifford Medical Center Emergency Department, Randolph, VT 05060-1370 | 2006-07-10 |
| 1699705467 | Peter J Waldman | Emergency Medicine | 110 Kimball Ave Ste 115, S Burlington, VT 05403-6841 | 2006-07-04 |
| 1093743379 | Marcus J Hampers | Emergency Medicine | 178 Swanton Rd, Saint Albans, VT 05478-2615 | 2006-06-28 |
| 1144272543 | Jane Lynn Waterman | Emergency Medicine | 6235 Garfield Rd, Wolcott, VT 05680-4311 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER CENTER |
| Zip Code | 05255 |
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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.