THE POLYCLINIC (NPI# 1982149761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982149761 |
| Entity Type | Organization |
| Organization Name | THE POLYCLINIC |
| Other Organization Name | THE POLYCLINIC MOHS SURGERY |
| Practice Address |
1229 Madison St Suite 1090 Seattle WA 98104-3586 |
| Practice Telephone | 2068605595 |
| Practice Fax Number | 2067207447 |
| Mailing Telephone | 2068605595 |
| Mailing Fax Number | 2067207447 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | LLOYD DAVID (CEO) |
| Authorized Official Telephone | 2063291760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Polyclinic Mohs Surgery | 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 |
| 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 |
| 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 |
1229 MADISON ST SUITE 1090 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659967 | Dianne B Thompson | Dermatology | 1229 Madison St, Ste 1290, Seattle, WA 98104-3568 | 2005-06-20 |
| 1073005393 | Jennifer Brooke Jiru | Registered Nurse | 1229 Madison St, Ste 1440, Seattle, WA 98104-3538 | 2018-06-01 |
| 1942733787 | Tessa Marzulla | Genetic Counselor, MS | 1229 Madison St, Suite 750, Seattle, WA 98104-3586 | 2017-04-08 |
| 1386185098 | Rajitha Mathew | Nurse Practitioner | 1229 Madison St, Suite #1190, Seattle, WA 98104-3586 | 2017-03-14 |
| 1881136430 | Jonathan Flint | Registered Nurse | 1229 Madison St, # 1440, Seattle, WA 98104-3586 | 2016-11-14 |
| 1780126805 | First Hill Imaging Center LLC | Radiology | 1229 Madison St, Suite 900, Seattle, WA 98104-1391 | 2016-11-07 |
| 1508318726 | Caitlin Connolly | Registered Nurse | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2016-11-04 |
| 1811445018 | Northwest Glaucoma and Cataract Consultants, LLC | Clinic/Center | 1229 Madison St, Suite 1250, Seattle, WA 98104-3586 | 2016-09-15 |
| 1275080202 | Diane Elizabeth Sy | Nurse Anesthetist, Certified Registered | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2016-09-07 |
| 1285181719 | Danielle Kuhn | Physical Therapist | 1229 Madison St, Ste 1500, Seattle, WA 98104-3586 | 2016-09-01 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679871222 | Kara Kaiser LLC | Clinic/Center | 9236 26th Ave Nw, Seattle, WA 98117-2815 | 2011-03-07 |
| 1093836652 | Northwest Foot & Ankle Associates, P.s. | Clinic/Center | 1545 Ne 65th St, Seattle, WA 98115-6800 | 2007-04-02 |
| 1437202249 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 400, Seattle, WA 98104-3599 | 2007-01-18 |
| 1811936990 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 900 Terry Ave, 3rd Floor, Seattle, WA 98104-4230 | 2006-06-05 |
| 1386615912 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 501 N 34th St, Suite 101, Seattle, WA 98103-8645 | 2006-01-31 |
| 1871095489 | Evergreen Eye Center, Inc. P.s. | Clinic/Center | 1229 Madison St Ste 1250, Seattle, WA 98104-3568 | 2018-02-28 |
| 1013387729 | Group Health Cooperative | Clinic/Center | 201 16th Ave E, Suite Cmb-2, Seattle, WA 98112-5226 | 2015-10-07 |
| 1306217039 | First Hill Surgery Center LLC | Clinic/Center | 1101 Madison St, Suite 200, Seattle, WA 98104-1306 | 2015-10-07 |
| 1609245331 | Salem Surgical Services, LLC | Clinic/Center | 1700 7th Ave, Suite 116, Seattle, WA 98101-1397 | 2015-09-23 |
| 1326442583 | Madison Tower Plastic Surgery | Clinic/Center | 1101 Madison St, Suite 1101, Seattle, WA 98104-1306 | 2014-10-17 |
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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.