THE POLYCLINIC (NPI# 1821478686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821478686 |
| Entity Type | Organization |
| Organization Name | THE POLYCLINIC |
| Other Organization Name | THE POLYCLINIC BALLARD |
| Practice Address |
1801 Nw Market St Seattle WA 98107-3987 |
| Mailing Address |
1145 Broadway Seattle WA 98122-4201 |
| Practice Telephone | 2063291760 |
| Mailing Telephone | 2063291760 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | MR. 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| The Polyclinic Ballard | 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 |
| 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 |
1801 NW MARKET ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384711 | David Tadashi Aoyama | Internal Medicine | 1801 Nw Market St, Suite 309, Seattle, WA 98107-3987 | 2005-11-25 |
| 1780110064 | Dominick Curalli, Dds, Pllc | Dentist | 1801 Nw Market St, Ste 312, Seattle, WA 98107-3987 | 2017-05-05 |
| 1801334305 | William Ewing | Pharmacist | 1801 Nw Market St, 104, Seattle, WA 98107-3987 | 2017-02-03 |
| 1124479951 | Mena Salib | Family Medicine | 1801 Nw Market St, Seattle, WA 98107-3987 | 2016-06-22 |
| 1376923961 | Alexandra Duroc-danner | Massage Therapist | 1801 Nw Market St, Suite 408, Seattle, WA 98107-3987 | 2015-06-09 |
| 1457742660 | Carrie Hart | Massage Therapist | 1801 Nw Market St, Ste. 408, Seattle, WA 98107-3987 | 2015-02-10 |
| 1811385438 | Eileen Elizabeth Chang | Nurse Practitioner | 1801 Nw Market St, Seattle, WA 98107-3987 | 2015-01-05 |
| 1245668631 | John K Tidwell Dds Ps | Dentist | 1801 Nw Market St, Suite 108, Seattle, WA 98107-3987 | 2013-10-22 |
| 1457783029 | Ailee Marie Yates | Massage Therapist | 1801 Nw Market St, Seattle, WA 98107-3987 | 2013-08-06 |
| 1821342163 | Craig Charles Parker | Massage Therapist | 1801 Nw Market St, Suite 408, Seattle, WA 98107 | 2012-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
| Find all providers in zip 98107 | ||||
| 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.