Dr. Kornelis Poelstra is a Los Gatos, California based male orthopedic surgeon with 19 years of experience in Hand Surgery. He completed his graduation from University Of Virginia School Of Medicine in 2005. He is also affiliated with hospitals like Southern Hills Hospital And Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kornelis Poelstra is D0064282 for Orthopedic Surgery in Maryland.
Dr. Kornelis Poelstra is trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Complete Profile:
Dr. Kornelis Poelstra speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Hand Surgery
Credentials:
M.D.
Experience:
19+ years
Medical School Attended:
University Of Virginia School Of Medicine
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
340 Dardanelli Ln Ste 10, Los Gatos, California, 95032
Phone:
408-412-8110
Fax:
408-412-8499
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6507868593
Enrollment ID:
I20201015003127
NPI Number:
1467496828
NPI Enumeration Date:
16 Jun, 2006
NPI Last Update On:
23 Jun, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kornelis Poelstra are as mentioned below.
License Number
Specialization
State
Status
D0064282
Orthopedic Surgery
Maryland
Primary
D0064282
Hand Surgery
Maryland
Secondary
D0064282
Adult Reconstructive Orthopaedic Surgery
Maryland
Secondary
D0064282
Orthopaedic Surgery of the Spine
Maryland
Secondary
ME105637
Orthopaedic Surgery of the Spine
Florida
Secondary
D0064282
Foot and Ankle Surgery
Maryland
Secondary
D0064282
Sports Medicine
Maryland
Secondary
D0064282
Emergency Medicine
Maryland
Secondary
D0064282
Emergency Medicine Emergency Medical Services
Maryland
Secondary
D0064282
Emergency Medicine Pediatric Emergency Medicine
Maryland
Secondary
D0064282
Emergency Medicine Sports Medicine
Maryland
Secondary
D0064282
Orthopaedic Trauma Sports Medicine
Maryland
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Southern Hills Hospital And Medical Center (290047)
Las vegas, NV
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kornelis Poelstra is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Allegiant Institute Inc (4981678695)
16
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kornelis Poelstra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
146PG
Other
Florida
FLORIDA BLUE
C154182
Other
California
STATE LICENSE
CA362605
Other
California
MEDICARE PTAN
001556000
Medicaid
Florida
009808600
Medicaid
Maryland
ME 105637
Other
Florida
LICENSE
593-09767
Other
Alabama
BCBS OF ALABAMA
D0064282
Other
Maryland
STATE LICENSE NUMBER
593-09895
Other
Alabama
BCBS OF ALABAMA
CA362605
Other
California
MEDICARE PIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
340 Dardanelli Ln Ste 10, Los Gatos, California
Zip:
95032-1418
Phone Number:
408-412-8110
Fax Number:
408-412-8499
Patients can reach Dr. Kornelis Poelstra at 340 Dardanelli Ln Ste 10, Los Gatos, California or can call to book an appointment on 408-412-8110. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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