Elizabeth Polacheck MD SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ELIZABETH POLACHECK MD SC

Practice address

3033 W Layton Ave Ste 201
Greenfield, WI 53221-2621

Phone

(414) 727-8199

Fax

(888) 371-8009

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Anne Polacheck, MD

Title

Physician

Phone

(414) 727-8199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1225244668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W LAYTON AVE STE 201",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212621",
            "telephone_number": "414-727-8199",
            "fax_number": "888-371-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W LAYTON AVE STE 201",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212621",
            "telephone_number": "414-727-8199",
            "fax_number": "888-371-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH POLACHECK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "POLACHECK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "414-727-8199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32041800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay M Eaton
• Gina Elaine Edson, APNP
• Sonhui Edwards
• Peter Eidsmoe, PT
• Elite Medical Supply LLC
• Mazin Ellias, M.D.
• Suhaib Kamal Elobaid, M.D
• Emvora
• Patrick Engle, LPC
• Cecilia Enriquez Dieguez

• Physical Medicine & Rehabilitation Physician in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.