THE POLYCLINIC (NPI# 1134509995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134509995 |
Entity Type | Organization |
Organization Name | THE POLYCLINIC |
Other Organization Name | THE POLYCLINIC NORTHGATE |
Practice Address |
11011 Meridian Ave N Suite 200 Seattle WA 98133-8967 |
Mailing Address |
1145 Broadway Seattle WA 98122-4201 |
Practice Telephone | 2033291760 |
Mailing Telephone | 2063291760 |
Enumeration Date | 2015-06-05 |
Last Update Date | 2015-06-05 |
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 | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
The Polyclinic Northgate | 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 |
1063892727 | The Polyclinic | Counselor | 904 7th Ave, Seattle, WA 98104-1132 | 2015-06-08 |
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 |
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 |
11011 MERIDIAN AVE N SUITE 200 |
City | SEATTLE |
State | WA |
Zip Code | 98133-8967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669449062 | Thomas King | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2006-03-03 |
1538601927 | Elizabeth Marie Storch Goldberg | Nurse Practitioner | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2016-11-16 |
1902259468 | Northgate Endodontics | Dentist | 11011 Meridian Ave N, Suite 309, Seattle, WA 98133-8967 | 2016-07-20 |
1063751527 | North Seattle Orthodontics Ps | Dentist | 11011 Meridian Ave N, Ste. 304, Seattle, WA 98133-8967 | 2013-02-04 |
1063787448 | Laura Bovee | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2012-03-19 |
1518287705 | Kimberly Vanderzee | Family Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2010-06-10 |
1649429044 | Hong Li | Dentist | 11011 Meridian Ave N, Ste. 104, Seattle, WA 98133-8967 | 2008-09-10 |
1861672255 | Patricia Ann Koning | Dentist | 11011 Meridian Ave N, 104, Seattle, WA 98133-8967 | 2007-11-14 |
1972701910 | Diana Cristea | Dentist | 11011 Meridian Ave N, Suite #104, Seattle, WA 98133-8967 | 2007-07-10 |
1417163635 | Reichel Dermatology Associates, Pllc | Clinic/Center | 11011 Meridian Ave N, Suite 102, Seattle, WA 98133-8967 | 2007-05-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
Find all providers in zip 98133 |
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 |
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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.