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THOMAS MICHAEL POLIDORE MD
NPI 1366424095
Surgery in Crescent City, CA

Active since November 17, 2005
1225 MARSHALL ST, #24, CRESCENT CITY, CA 95531(707) 465-0884(707) 465-8356 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Michael Polidore Md NPPES

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

THOMAS MICHAEL POLIDORE MD (NPI 1366424095) is an individual surgery provider in Crescent City, California, licensed in California (G83054) and active in the NPI registry since November 2005. He maintains a secondary practice location in Crescent City.

NPPES Registry Identity

NPI1366424095
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS MICHAEL POLIDORECredential: MD
Location Address1225 MARSHALL ST, #24Crescent City, CA 95531-2281
Mailing Address10470 Old Placerville Rd Ste 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(707) 465-0884
Fax(707) 465-8356
Sole ProprietorYes
Enumeration DateNovember 17, 2005
Last NPPES UpdateJanuary 11, 2018
✔ NPI 1366424095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G83054
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License G83054 (CA)
1225 MARSHALL ST, Crescent City, CA 95531
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Secondary Practice Location 1

Location 11225 Marshall St, #24Crescent City, CA 95531-2281 · Phone (707) 465-0884 · Fax (707) 465-8356

Other Identifiers 1

MedicaidOOG830540CA

Other Providers at the Same Location NPPES

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

MARTIN KERNBERG MD INC
Pain Medicine (Interventional Pain Medicine)
1225 MARSHALL ST, STE 18
CRESCENT CITY, CA 95531
Del Norte County (707) 464-1989

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 Polidore's NPI number?

The NPI number for Thomas Polidore is 1366424095. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Thomas Polidore located?

Thomas Polidore practices at 1225 Marshall St #24, Crescent City, CA 95531. The listed phone number is (707) 465-0884.

What is Thomas Polidore's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Thomas Polidore was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.