Dr. Kornelis Poelstra
Emergency Physician Emergency Medical Services Pediatric Emergency Physician Orthopaedic Surgeon and 7 more
340 Dardanelli Ln Ste 10
Los Gatos
, California 95032
Dr. Kornelis Poelstra
Emergency Physician Emergency Medical Services Pediatric Emergency Physician Orthopaedic Surgeon and 7 more
340 Dardanelli Ln Ste 10
Los Gatos
, California 95032
(408) 412-8499
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
- Pediatric Emergency Physician
- Orthopaedic Surgeon
- Orthopaedic Hand Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
- Foot and Ankle Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
- Orthopaedic Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kornelis Poelstra
- 340 Dardanelli Ln Ste 10
- Los Gatos, CA
- Zip : 95032-1418
- Fax : (408) 412-8499
- Phone : (408) 412-8110
Second Address
- Dr. Kornelis Poelstra
- 340 Dardanelli Ln Ste 10
- Los Gatos, CA
- Zip : 95032
- Fax : (408) 412-8499
- Phone : (408) 412-8110
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FAQs
Where did Dr. Kornelis Poelstra attend graduate school?
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Where did Dr. Kornelis Poelstra do his fellowship?
Is Dr. Kornelis Poelstra board certified?
What type of doctor is Dr. Kornelis Poelstra
In what state does Dr. Kornelis Poelstra practice in?
Where is Dr. Kornelis Poelstra ’s practice located?
What is Dr. Kornelis Poelstra ’s gender?
Is Dr. Kornelis Poelstra a sole practitioner?
Is Dr. Kornelis Poelstra accepting new patients?
What languages does Dr. Kornelis Poelstra speak?
Does Dr. Kornelis Poelstra accept insurance?
Does Dr. Kornelis Poelstra offers telemedicine?
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What is Dr. Kornelis Poelstra ’s NPI number?
Does Dr. Kornelis Poelstra have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | D0064282 | MD |
| N | 207PE0004X | Emergency Medical Services | D0064282 | MD |
| N | 207PP0204X | Pediatric Emergency Physician | D0064282 | MD |
| Y | 207X00000X | Orthopaedic Surgeon | D0064282 | MD |
| N | 207XS0106X | Orthopaedic Hand Surgeon | D0064282 | MD |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0064282 | MD |
| N | 207XS0117X | Orthopaedic Spine Surgeon | D0064282 | MD |
| N | 207XS0117X | Orthopaedic Spine Surgeon | ME105637 | FL |
| N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0064282 | MD |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0064282 | MD |
| N | 207XX0801X | Orthopaedic Trauma Surgeon | D0064282 | MD |
National Provider Identifier
| NPI | 1467496828 |
|---|---|
| Provider Name | Dr. Kornelis Poelstra |
| First Address | Los Gatos, CA 95032-1418 |
| Second Address | Los Gatos, CA 95032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 23/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001556000 | (05) | FL |
| 009808600 | (05) | MD |
| 146PG | FLORIDA BLUE (01) | FL |
| 593-09767 | BCBS OF ALABAMA (01) | AL |
| 593-09895 | BCBS OF ALABAMA (01) | AL |
| C154182 | STATE LICENSE (01) | CA |
| CA362605 | MEDICARE PIN (01) | CA |
| CA362605 | MEDICARE PTAN (01) | CA |
| D0064282 | STATE LICENSE NUMBER (01) | MD |
| I62790 | (02) | MD |
| ME 105637 | LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.