DR. LORI G POLACEK (NPI# 1841392636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841392636 |
| Entity Type | Individual |
| Full Name | DR. LORI G POLACEK |
| Credential | MD |
| Practice Address |
1524 Atwood Ave Suite 343 Johnston RI 02919 |
| Practice Telephone | 4013310202 |
| Practice Fax Number | 4014213353 |
| Mailing Telephone | 4013310202 |
| Mailing Fax Number | 4014213353 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | RI8046 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9020105 | 05 |
| Street Address |
1524 ATWOOD AVE SUITE 343 |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374274 | Jessica Marie Dirocco | Nurse Practitioner | 1524 Atwood Ave, Johnston, RI 02919-3228 | 2019-06-11 |
| 1750828596 | Kristen Hannigan | Physician Assistant | 1524 Atwood Ave, Suite 220, Johnston, RI 02919-3228 | 2017-01-31 |
| 1982148243 | Johnston Dental Group, LLC | Dentist | 1524 Atwood Ave, Suite 438, Johnston, RI 02919-3228 | 2016-12-06 |
| 1356792824 | Ariana Parker | Physician Assistant | 1524 Atwood Ave, Suite 321, Johnston, RI 02919 | 2016-06-27 |
| 1639535776 | David Aiello Jr. | Chiropractor | 1524 Atwood Ave, # 210a, Johnston, RI 02919-3228 | 2016-01-05 |
| 1922406875 | Angels Medical Associates LLC | Internal Medicine | 1524 Atwood Ave, Suite 327, Johnston, RI 02919-3228 | 2014-12-09 |
| 1609272376 | Toder Rheumatology & Osteoporosis Center, P.C. | Internal Medicine | 1524 Atwood Ave, Suite 333, Johnston, RI 02919-3228 | 2014-11-07 |
| 1306261706 | Erik Andrew Shumaker | Psychologist | 1524 Atwood Ave, #222, Johnston, RI 02919-3228 | 2014-02-22 |
| 1881027498 | Cheryl A Schertz | Nurse Practitioner | 1524 Atwood Ave, Suite 336, Johnston, RI 02919-3228 | 2013-08-19 |
| 1265864045 | Melany Caryn Tromba | Psychologist | 1524 Atwood Ave, Suite 222, Johnston, RI 02919-3228 | 2013-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619107323 | Northeast Institute of Plastic Surgery Inc | Plastic Surgery | 875 Centerville Road, Building 2, Warwick, RI 02886 | 2009-07-16 |
| 1508084377 | Erik Alexander Hoy | Plastic Surgery | 1407 S County Trl Ste 420, East Greenwich, RI 02818-1679 | 2007-04-24 |
| 1063564821 | Walter Frank Roettinger II | Plastic Surgery | 222 Bellevue Ave, Newport, RI 02840-3515 | 2007-01-18 |
| 1144309006 | Helena Olga Beatrice Taylor | Plastic Surgery | 2 Dudley St Ste 180, Providence, RI 02905-3248 | 2006-11-03 |
| 1669566303 | Lee Everett Edstrom | Plastic Surgery | 2 Dudley, Suite 460, Providence, RI 02905 | 2006-10-03 |
| 1871581389 | David T. Barrall | Plastic Surgery | 151 Waterman St, Providence, RI 02906-2118 | 2005-10-10 |
| 1801896378 | Pierre Ross Michaud | Plastic Surgery | 875 Centerville Rd, Warwick, RI 02886-4381 | 2005-07-27 |
| 1184623282 | James Weintrub | Plastic Surgery | 34 Barnes St, Providence, RI 02906-1502 | 2005-07-20 |
| 1649894924 | Mimi Rosealie Borrelli | Plastic Surgery | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-03 |
| 1245897925 | Solomon Swartz | Plastic Surgery | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-28 |
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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.