THE POLYCLINIC (NPI# 1063892727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063892727 |
| Entity Type | Organization |
| Organization Name | THE POLYCLINIC |
| Other Organization Name | THE POLYCLINIC MADISON CENTER |
| Practice Address |
904 7th Ave Seattle WA 98104-1132 |
| Practice Telephone | 2063291760 |
| Mailing Telephone | 2063291760 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | LLOYD DAVID (CEO) |
| Authorized Official Telephone | 2068604401 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE POLYCLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| The Polyclinic Madison Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881074649 | The Polyclinic | Internal Medicine | 1414 10th Ave, Seattle, WA 98122-3857 | 2015-06-05 |
| 1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
| 1982149761 | The Polyclinic | Clinic/Center | 1229 Madison St, Suite 1090, Seattle, WA 98104-3586 | 2017-01-03 |
| 1821478686 | The Polyclinic | Allergy & Immunology | 1801 Nw Market St, Seattle, WA 98107-3987 | 2015-06-05 |
| 1346620200 | The Polyclinic | Family Medicine | 3216 Ne 45th Pl, Suite 200, Seattle, WA 98105-4093 | 2015-06-05 |
| 1306226170 | The Polyclinic | Physical Therapist | 10700 Meridian Ave N, Suite 105, Seattle, WA 98133-9008 | 2015-06-05 |
| 1407236367 | The Polyclinic | Allergy & Immunology | 509 Olive Way, Suite 900, Seattle, WA 98101-1720 | 2015-06-05 |
| 1841670619 | The Polyclinic | Allergy & Immunology | 3400 California Ave Sw, Suite 200, Seattle, WA 98116-3307 | 2015-06-05 |
| 1740660513 | The Polyclinic | Pediatrics | 11545 15th Ave Ne, Suite 205, Seattle, WA 98125-6358 | 2015-06-05 |
| 1134509995 | The Polyclinic | Allergy & Immunology | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2015-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE POLYCLINIC COMMUNITY HEALTH FOUNDATION | 1145 Broadway, Seattle, WA 98122 |
| Washington State Corporations | THE POLYCLINIC, PLLC | 904 7th Ave, Seattle, WA 98104-1132 |
| Street Address |
904 7TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546713 | William Todd Johnston | Ophthalmology | 904 7th Ave, Seattle, WA 98104-1132 | 2005-05-31 |
| 1609488915 | Emily Wingert | Dietitian, Registered | 904 7th Ave, Seattle, WA 98104-1132 | 2020-08-18 |
| 1144846262 | Aimee K Gallo | Nutritionist | 904 7th Ave, Seattle, WA 98104-1132 | 2020-06-24 |
| 1619598059 | Hannah Huntoon | Physical Therapy Assistant | 904 7th Ave, Seattle, WA 98104-1132 | 2020-04-27 |
| 1457998395 | Jourdan Spencer Cruz | Social Worker | 904 7th Ave, Seattle, WA 98104-1132 | 2019-12-10 |
| 1003464157 | Emily Katherine Pellegrini | Nurse Practitioner | 904 7th Ave, Seattle, WA 98104-1132 | 2019-09-02 |
| 1245791136 | Shea-marie Schrater | Nurse Practitioner | 904 7th Ave, Seattle, WA 98104-1132 | 2019-03-25 |
| 1396210704 | Sheree Reed | Physical Therapist | 904 7th Ave, Seattle, WA 98104-1132 | 2018-10-11 |
| 1346733250 | Emily C Howieson | Nurse Practitioner | 904 7th Ave, Seattle, WA 98104 | 2018-06-14 |
| 1982122750 | Calista Ku | Nurse Practitioner | 904 7th Ave, Seattle, WA 98104 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316476575 | Derek Youngberg | Durable Medical Equipment & Medical Supplies | 3100 Airport Way S Unit 85, Seattle, WA 98134-2133 | 2017-06-09 |
| 1417481797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4313 University Way Ne, Seattle, WA 98105 | 2017-04-13 |
| 1083155329 | Seatle Medical Supplies | Durable Medical Equipment & Medical Supplies | 800 Fifth Avenue, Seafirst Fifth Avenue Plaza, Suite 4100, Seattle, WA 98104 | 2017-03-20 |
| 1902347875 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2438 32nd Ave W, Seattle, WA 98199-3202 | 2017-03-13 |
| 1952847717 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2035 4th Ave, Seattle, WA 98121-2414 | 2017-01-17 |
| 1073062600 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3639 Martin Luther King Jr Way S Ste P1, Seattle, WA 98144-6847 | 2016-09-23 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1437511151 | Medsheet Ltd | Durable Medical Equipment & Medical Supplies | 3225 44th Ave Sw, Seattle, WA 98116-3324 | 2016-03-22 |
| 1891173985 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 N 45th St, Seattle, WA 98103-6902 | 2015-05-11 |
| 1467855346 | Kp Pharmacy & Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7101 Martin Luther King Jr Way S Ste 101b, Seattle, WA 98118-3591 | 2014-10-06 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.