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JERROLD POLTEROCK MD
NPI 1578536306
Otolaryngology in Oakdale, CA

Active since February 10, 2006
250 S OAK AVE, SUITE 4, OAKDALE, CA 95361(209) 845-0100(209) 845-0130 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerrold Polterock Md NPPES

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

JERROLD POLTEROCK MD (NPI 1578536306) is an individual otolaryngology provider in Oakdale, California, licensed in California (G16347) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1578536306
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJERROLD POLTEROCKCredential: MD
Location Address250 S OAK AVE, SUITE 4Oakdale, CA 95361-3572
Mailing Address250 S Oak Ave, Suite 4Oakdale, CA 95361-3572 · (209) 845-0100 · Fax (209) 845-0130
Phone(209) 845-0100
Fax(209) 845-0130
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJune 23, 2011
✔ NPI 1578536306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · G16347
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
250 S OAK AVE, Oakdale, CA 95361
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Other Identifiers 4

Medicare ID-Type UnspecifiedG16347
OtherZZZ07922ZCA · Blue Shield
Medicare UPINA39771
Medicaid00G163471CA

Other Providers at the Same Location NPPES 8

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

JENNIFER R CORDIER MD
Pediatrics
250 S OAK AVE, SUITE A1
OAKDALE, CA 95361
Stanislaus County (209) 848-8133
GURNEET CHAHAL DDS CORP
Dentist
250 S OAK AVE
OAKDALE, CA 95361
Stanislaus County (209) 288-4089
GURNEET CHAHAL DDS CORP
Dentist
250 S OAK AVE, B3
OAKDALE, CA 95361
Stanislaus County (209) 322-3174
DR. SHAHIN LAGHAEE MD
Internal Medicine (Gastroenterology)
250 S OAK AVE, BUILDING A SUITE 3
OAKDALE, CA 95361
Stanislaus County (209) 575-4575
SHAHIN LAGHAEE MD INC
Specialist
250 S OAK AVE, BUILDING A SUITE 3
OAKDALE, CA 95361
Stanislaus County (209) 848-1488
MRS. GURNEET CHAHAL DDS
Dentist (General Practice)
250 S OAK AVE, SUITE 2
OAKDALE, CA 95361
Stanislaus County (209) 322-3174
OAK VALLEY OTOLARYNGOLOGY INC
Otolaryngology
250 S OAK AVE, SUITE 4
OAKDALE, CA 95361
Stanislaus County (209) 845-0100
OAKDALE PEDIATRICS
Pediatrics
250 S OAK AVE, SUITE A1
OAKDALE, CA 95361
Stanislaus County (209) 848-8133

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 Jerrold Polterock's NPI number?

The NPI number for Jerrold Polterock is 1578536306. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Jerrold Polterock located?

Jerrold Polterock practices at 250 S Oak Ave Suite 4, Oakdale, CA 95361. The listed phone number is (209) 845-0100.

What is Jerrold Polterock's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Jerrold Polterock was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.