THOMAS POLK
NPI 1043680499
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Thomas Polk's NPI number?

The NPI number for Thomas Polk is 1043680499. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Q: What is Thomas Polk's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Polk was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2015

2609 W CANYON AVE, APT 307, SAN DIEGO, CA 92123(972) 730-5399 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas Polk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS POLK (NPI 1043680499) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1043680499

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameTHOMAS POLK

Location Address2609 W CANYON AVE, APT 307San Diego, CA 92123-4729

Mailing Address2609 W Canyon Ave, Apt 307San Diego, CA 92123-4729

Phone(972) 730-5399

Sole ProprietorNo

Enumeration DateSeptember 28, 2015

✔ NPI 1043680499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

2609 W CANYON AVE, San Diego, CA 92123

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Polk's NPI number?

The NPI number for Thomas Polk is 1043680499. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Thomas Polk located?

Thomas Polk practices at 2609 W Canyon Ave Apt 307, San Diego, CA 92123. The listed phone number is (972) 730-5399.

What is Thomas Polk's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Thomas Polk was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.