Blake C Poleynard (NPI# 1508865510, PAC ID# 4981647674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1508865510 |
| PAC ID by PECOS | 4981647674 |
| Professional Enrollment ID | I20110301001016 |
| Full Name | Blake C Poleynard |
| Organization Legal Name | RADIOLOGY ALLIANCE PC |
| Address |
34 Shoreline Dr Columbia SC 29229-7302 |
| Phone Number | 85568772371115 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 1850280470 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270017 | ST JAMES HEALTHCARE |
| 420079 | TRIDENT MEDICAL CENTER |
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| 420080 | HILTON HEAD REGIONAL MEDICAL CENTER |
| 421301 | ABBEVILLE AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 34 Shoreline Dr, Columbia, SC 29229-7302 | 85568772371115 | RADIOLOGY ALLIANCE PC |
| 139 Applewood Dr, Greenville, SC 29615-2861 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 1241 Woodland Ave, Mount Pleasant, SC 29464-3288 | 8438240606 | CHARLESTON RADIOLOGISTS PA |
| 311 Treetops Dr, Seneca, SC 29672-0767 | 6153120600 | RADIOLOGY ALLIANCE PC |
| 311 Treetops Dr, Seneca, SC 29672-0767 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 311 Treetops Dr, Seneca, SC 29672-0767 | 8643602617 | BAY AREA RADIOLOGY PC |
| 311 Treetops Dr, Seneca, SC 29672-0767 | 8667179687 | CHARLESTON RADIOLOGISTS PA |
| 214 14th Ave Sw, Sidney, MT 59270-3521 | 4064882100 | SIDNEY HEALTH CENTER |
| 216 14th Ave Sw, Sidney, MT 59270-3519 | 4064882100 | SIDNEY HEALTH CENTER |
| Organization Legal Name | RADIOLOGY ALLIANCE PC |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan H Sutcliffe | Diagnostic Radiology | Radiology Alliance PC | 7 Fancy Hl, Madbury, NH 03823-7505 |
| Jason Glen Meigs | Diagnostic Radiology | Radiology Alliance PC | 2821 N 50, Lehi, UT 84043-4091 |
| Daniel J Israel | Diagnostic Radiology | Radiology Alliance PC | 2105 Lancaster Rd, Birmingham, AL 35209-4207 |
| Abraham A Harari | Diagnostic Radiology | Radiology Alliance PC | 1567 S Roslyn St, Denver, CO 80231-2614 |
| Keiron T Kennedy | Diagnostic Radiology | Radiology Alliance PC | 6470 Pocahontas Ln, Hayes, VA 23072-3221 |
| Nausheen Naveed | Diagnostic Radiology | Radiology Alliance PC | 802 Ridgestone Ct, Peachtree City, GA 30269-6629 |
| Laura M Wike | Diagnostic Radiology | Radiology Alliance PC | 2517 N Cisco Ln, Boise, ID 83702-5502 |
| Jerome B Klein | Diagnostic Radiology | Radiology Alliance PC | 2121 E La Vieve Ln, Tempe, AZ 85284-3533 |
| Shwan Kim | Diagnostic Radiology | Radiology Alliance PC | 865 Deer Willow Ct, Thousand Oaks, CA 91320-5508 |
| Scott J Sullivan | Diagnostic Radiology | Radiology Alliance PC | 4 Dewart Rd, Greenwich, CT 06830-3417 |
| Street Address |
34 SHORELINE DR |
| City | COLUMBIA |
| State | SC |
| Zip | 29229-7302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Eugene Phillips | Diagnostic Radiology | Oroville Hospital | 34 Shoreline Dr, Columbia, SC 29229-7302 |
| Mark L Harshany | Diagnostic Radiology | Oroville Hospital | 34 Shoreline Dr, Columbia, SC 29229-7302 |
| William Leicester Woodard Jr. | Diagnostic Radiology | Oroville Hospital | 34 Shoreline Dr, Columbia, SC 29229-7302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor C Dieter | Nurse Practitioner | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Jessica Faye Hall | Physician Assistant | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Lee S Carson | Dermatology | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| Devon Elizabeth Driver | Nurse Practitioner | Northeast Dermatology Pa | 220 Graces Way, Columbia, SC 29229-1613 |
| James A Eddis Iii | Optometry | 10136 Two Notch Rd, Suite 107d, Columbia, SC 29229-4206 | |
| Tameka Irvin | Certified Clinical Nurse Specialist (cns) | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Jeffrey S Anderson | Emergency Medicine | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Virginia L Mcclain | Family Medicine | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Madhuri V Juvekar | Family Practice | Medcare Express North Charleston LLC | 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399 |
| Jean J Champion-martin | Optometry | 332 Long Pointe Ln, Columbia, SC 29229-5508 | |
| Find all physicians in zip 29229 | |||
| City | COLUMBIA |
| Zip Code | 29229 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | COLUMBIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Blake C Poleynard.
| 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.