Evette Polczynski, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42002 Issued in CO

Legal business name

EVETTE POLCZYNSKI, MD, LLC

Practice address

103 Pagosa St
Pagosa Springs, CO 81147

Phone

(970) 264-2218

Fax

(970) 264-2219

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Evette Polczynski, MD

Title

Owner

Phone

(970) 264-9138

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386726859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3483",
            "address_2": "116 ROCK RIDGE CT",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811473483",
            "telephone_number": "970-264-9138",
            "fax_number": "970-264-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PAGOSA ST",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-264-2218",
            "fax_number": "970-264-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVETTE POLCZYNSKI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLCZYNSKI",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-264-9138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "42002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter M Dziad, M.D.
• Gerlinde Ehni, D.D.S.
• Rhonda Entz
• Sandra Ann Eriksen
• Joanna Erika Estes, M.D.
• Amanda Fisher
• Michelle Flemmings, MD
• Patricia L Flynn, RDH
• Erik W Foss
• Stacey L Foss, LAC

• Internal Medicine Physician in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.