Richard W. Poliak III, DOCTORATE

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN199694 Issued in AZ

Practice address

18701 N 67TH Ave
Glendale, AZ 85308-7100

Phone

(800) 402-0081

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Ricky W. Poliak III Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1629983556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "800-402-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "800-402-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIAK",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DOCTORATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN199694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKY",
            "last_name": "POLIAK",
            "middle_name": "W.",
            "prefix": "MS.",
            "suffix": "III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Podiatric Physicians of Arizona, Inc. (Steward Medical Group of Arizona / Podiatry)
• Elizabeth Kathryn Pogge, PHARM.D.
• Georgeann H Polansky, MD
• Jennifer Lynn Polansky, PHARM.D.
• Polaris Hospice LLC
• Lauren Kimberly Poling, D.O.
• Howard Harold Polk, DDS
• Jenee Polk
• Layla Polk
• James Polkabla, O.D.

• Certified Registered Nurse Anesthetist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.