PAVEL POLEHNA MD NPI 1427144583

NPI Information

NPI: 1427144583
Provider Name: PAVEL POLEHNA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
700 NE 87TH AVE
VANCOUVER, WA
ZIP 98664
Phone: (360) 254-1240
Get Directions

Pavel Polehna, MD is a family medicine in Vancouver, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Pavel Polehna, MD NPI is 1427144583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 NE 87TH AVE
VANCOUVER, WA
ZIP 98664-913
Phone: (360) 254-1240
Fax: (360) 397-3128

The NPI 1427144583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 4/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	MD00047152	WASHINGTON	Yes
2	207Q00000X	Family Medicine	113948	ALASKA	No
3	207Q00000X	Family Medicine	51068	ARIZONA	No
4	207Q00000X	Family Medicine	M-13199	IDAHO	No
5	207Q00000X	Family Medicine	DR.0056351	COLORADO	No
6	207Q00000X	Family Medicine	MD-18503	HAWAII	No
7	207Q00000X	Family Medicine	16301	NEVADA	No
8	207Q00000X	Family Medicine	10464A	WYOMING	No
9	207Q00000X	Family Medicine	MD2015-0793	NEW MEXICO	No
10	207Q00000X	Family Medicine	41935	MONTANA	No
11	207Q00000X	Family Medicine	MD162124	OREGON	No
12	207Q00000X	Family Medicine	A97249	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8464547	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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