DR. GERALD IRA POLUKOFF MD
NPI 1215020045
Internal Medicine - Cardiovascular Disease in Logan, UT

Q: What is Gerald Polukoff's NPI number?

The NPI number for Gerald Polukoff is 1215020045. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Gerald Polukoff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Polukoff was last updated on June 20, 2016. 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 October 02, 2006

1300 N 500 E, LOGAN, UT 84341(435) 716-2200 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2016, Nov 18, 2015 (2 updates tracked since 2015).

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About Dr. Gerald Ira Polukoff Md NPPES

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

DR. GERALD IRA POLUKOFF MD (NPI 1215020045) is an individual cardiovascular disease provider in Logan, Utah, licensed in Utah (370398-1205) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1215020045

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. GERALD IRA POLUKOFFCredential: MD

Location Address1300 N 500 ELogan, UT 84341-2408

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 716-2200

Phone(435) 716-2200

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJune 20, 20162 updates tracked since enumeration

✔ NPI 1215020045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in UT · 370398-1205✔ Licensed in ID · M9904

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 370398-1205 (UT), M-9904 (ID)

1300 N 500 E, Logan, UT 84341

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Other Identifiers 1

Medicare UPIND95821UT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUDOLF OTRUSINIK MD

Internal Medicine (Cardiovascular Disease)

1300 N 500 E, SUITE 320
LOGAN, UT 84341

Cache County (435) 755-8200

CACHE VALLEY CARDIOLOGY PC

Specialist

1300 N 500 E, SUITE 320
LOGAN, UT 84341

Cache County (435) 755-8200

DREW ANDERSON OCCUPATIONAL THERAPY

Occupational Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

JAMES GREG BLOTTER OTR

Occupational Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

DR. CAMERON GLADE PETERSON M.D.

Physical Medicine & Rehabilitation

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2800

BRYAN C KING MD

Orthopaedic Surgery

1300 N 500 E, #130
LOGAN, UT 84341

Cache County (435) 716-2800

NATHAN A YOUNG PT

Physical Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

WESS R GREENE PT

Physical Therapist

1300 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2880

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 Gerald Polukoff's NPI number?

The NPI number for Gerald Polukoff is 1215020045. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Gerald Polukoff located?

Gerald Polukoff practices at 1300 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-2200.

What is Gerald Polukoff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Gerald Polukoff was last updated on June 20, 2016. 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.