Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. RICHARD W. POLIAK III DOCTORATE
NPI 1629983556
Nurse Anesthetist, Certified Registered in Glendale, AZ

Q: What is Richard Poliak's NPI number?

The NPI number for Richard Poliak is 1629983556. It was assigned to this individual provider in the NPPES registry on August 17, 2026. The provider is also known as Ms. Ricky W. Poliak.

Q: What is Richard Poliak's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Poliak was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 August 17, 2026

18701 N 67TH AVE, GLENDALE, AZ 85308(800) 402-0081 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Aug 17, 2026 (2 updates tracked since 2026).

On this page

About Mr. Richard W. Poliak Iii Doctorate NPPES

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

MR. RICHARD W. POLIAK III DOCTORATE (NPI 1629983556) is an individual nurse anesthetist, certified registered in Glendale, Arizona, licensed in Arizona (347849) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1629983556

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. RICHARD W. POLIAK IIICredential: DOCTORATE

Location Address18701 N 67TH AVEGlendale, AZ 85308-7100

Mailing Address18701 N 67th AveGlendale, AZ 85308-7100 · (800) 402-0081

Phone(800) 402-0081

Sole ProprietorYes

Enumeration DateAugust 17, 2026

Last NPPES UpdateNovember 6, 20262 updates tracked since enumeration

NPPES CertifiedNovember 6, 2026

✔ NPI 1629983556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AZ · 347849

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

18701 N 67TH AVE, Glendale, AZ 85308

Open in Google Maps ↗

Other Names 1

Other Name (5)Ms. Ricky W. Poliak

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.

DR. KENNETH VEIGA DO

Internal Medicine