Michael D Polka (NPI# 1144242223, PAC ID# 3072654425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1144242223 |
| PAC ID by PECOS | 3072654425 |
| Professional Enrollment ID | I20100106000782 |
| Full Name | Michael D Polka |
| Organization Legal Name | APPLETON EMERGENCY SERVICES SC |
| Address |
1818 N Meade St Appleton WI 54911-3454 |
| Phone Number | 8002364101 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4183517592 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 521346 | THEDACARE MEDICAL CENTER - SHAWANO INC |
| 521326 | THEDACARE MEDICAL CENTER NEW LONDON |
| 521333 | BLACK RIVER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1818 N Meade St, Appleton, WI 54911-3454 | 8002364101 | APPLETON EMERGENCY SERVICES SC |
| Organization Legal Name | APPLETON EMERGENCY SERVICES SC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cyril P Walsh | Emergency Medicine | Appleton Emergency Services Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Sanjay K Chopra | Emergency Medicine | Appleton Emergency Services Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Steven J Mcintyre | Emergency Medicine | Appleton Emergency Services Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Erica R Meyer | Emergency Medicine | Appleton Emergency Services Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Sean R Mccloy | Emergency Medicine | Appleton Emergency Services Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Street Address |
1818 N MEADE ST |
| City | APPLETON |
| State | WI |
| Zip | 54911-3454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Hughes | Cardiovascular Disease (cardiology) | Thedacare Incorporated | 1818 N Meade St, Appleton, WI 54911-3454 |
| Matthew S Bay | Physician Assistant | Fox Valley Surgical Associates Ltd | 1818 N Meade St, Appleton, WI 54911-3454 |
| David L Navratil | Cardiac Electrophysiology | Thedacare Incorporated | 1818 N Meade St, Appleton, WI 54911-3454 |
| Laurin A Bellg | Critical Care (intensivists) | Thedacare Incorporated | 1818 N Meade St, Appleton, WI 54911-3454 |
| Alexander S Tretinyak | General Surgery | Fox Valley Surgical Associates Ltd | 1818 N Meade St, S240w, Appleton, WI 54911-3454 |
| Carrie A Thoms | General Surgery | Fox Valley Surgical Associates Ltd | 1818 N Meade St, S240w, Appleton, WI 54911-3454 |
| Jason T Le | Vascular Surgery | Fox Valley Surgical Associates Ltd | 1818 N Meade St, Appleton, WI 54911-3454 |
| Michael F Maguire | Pulmonary Disease | Fox Valley Pulmonary Medicine Sc | 1818 N Meade St, Appleton, WI 54911-3454 |
| Suranga M Dharmaratne | Hospitalist | Thedacare Incorporated | 1818 N Meade St, Appleton, WI 54911-3454 |
| Beth R Krieger | General Surgery | Fox Valley Surgical Associates Ltd | 1818 N Meade St, S240w, Appleton, WI 54911-3454 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kenneth A Geller | Cardiovascular Disease (cardiology) | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richmond St, Appleton, WI 54911-1063 |
| Christopher W Wagener | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Lance A Grammont | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Nicole Gutman | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Charles M Miller | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Gunmeet K Kaleka | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Kathryn M Meyer | Obstetrics/gynecology | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| John T Siebers | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Wesley R Meyer | Optometry | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Find all physicians in zip 54911 | |||
| City | APPLETON |
| Zip Code | 54911 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | APPLETON + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.