Thomas Michael Polidore in Roseville - Colon & Rectal Surgery
Thomas Michael Polidore - NPI 1366424095
Thomas Michael Polidore is a Colon & Rectal Surgery in Roseville, California. Thomas Michael Polidore practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Thomas Michael Polidore is 1366424095. The last update date is 2018-01-11.
Thomas Michael Polidore's current location address is 3 Medical Plaza Dr Ste 130, Roseville, California. You can contact this provider via phone number 9167738750 and fax number 9167974774. The mailing address for Thomas Michael Polidore is 3 Medical Plaza Dr Ste 130, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Michael Polidore |
|---|---|
| Address | 3 Medical Plaza Dr Ste 130, Roseville, California |
| Phone Number | 9167738750 |
| Fax Number | 9167974774 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366424095 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2018-01-11 |
Provider Mailing Address Detail
| Address | 3 Medical Plaza Dr Ste 130 |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956613088 |
| Phone Number | 9167738750 |
| Fax Number | 9167974774 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | G83054 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OOG830540 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas Michael Polidore?
The Thomas Michael Polidore has been issued the NPI (National Provider Identifier) 1366424095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Thomas Michael Polidore is located?
The Thomas Michael Polidore is situated at the following address: 3 Medical Plaza Dr Ste 130, Roseville, CA, 956613088.
What is the area of specialization for Thomas Michael Polidore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas Michael Polidore is Colon & Rectal Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208C00000X.
When did the Thomas Michael Polidore receive its 1366424095?
The Thomas Michael Polidore was issued its 1366424095 on 2005-11-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Thomas Michael Polidore most recently updated or revised?
The information pertaining to Thomas Michael Polidore, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-11.