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TATUM JOHNSON POLAK DO
NPI 1457298176
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since April 30, 2026
2600 GREENWOOD RD, SHREVEPORT, LA 71103(318) 212-4000 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tatum Johnson Polak Do NPPES

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

TATUM JOHNSON POLAK DO (NPI 1457298176) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1457298176
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTATUM JOHNSON POLAKCredential: DO
Location Address2600 GREENWOOD RDShreveport, LA 71103-3908
Mailing Address2600 Greenwood RdShreveport, LA 71103-3908
Phone(318) 212-4000
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1457298176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2600 GREENWOOD RD, Shreveport, LA 71103
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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.

CROSS LAKE EMERGENCY GROUP, LLC
Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
MAURICE HAWLEY M.D.
Anesthesiology
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (972) 664-6963
SANDRA JEANNINE WARD
Registered Nurse (Critical Care Medicine)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
EDGAR DIAZ MD
Student in an Organized Health Care Education/Training Program
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
DAVID PAUL BAKER CRNA
Nurse Anesthetist, Certified Registered
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000
DR. CRAIG FLOREA MD
Emergency Medicine
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4500
JOSE ALBA MD
Radiology (Diagnostic Radiology)
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4550
JADE MORGAN ARRANT
Physician Assistant
2600 GREENWOOD RD
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4000

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 Tatum Polak's NPI number?

The NPI number for Tatum Polak is 1457298176. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Tatum Polak located?

Tatum Polak practices at 2600 Greenwood Rd, Shreveport, LA 71103. The listed phone number is (318) 212-4000.

What is Tatum Polak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tatum Polak was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.