Marcos A Antezana (NPI# 1104892843, PAC ID# 0143219089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1104892843 |
| PAC ID by PECOS | 0143219089 |
| Professional Enrollment ID | I20040507000132 |
| Full Name | Marcos A Antezana |
| Organization Legal Name | THE POLYCLINIC |
| Address |
904 7th Ave The Polyclinic Madison Center Seattle WA 98104-1132 |
| Phone Number | 2063091760 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2163328196 |
| Number of Group Practice Members | 366 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 | 2063091760 | THE POLYCLINIC |
| Organization Legal Name | THE POLYCLINIC |
| Physicians | 308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Takako Shiratori | Physical Therapy | The Polyclinic | 509 Olive Way, 900 The Polyclinic Downtown, Seattle, WA 98101-1724 |
| Carol J. Nicholson | Occupational Therapy | The Polyclinic | 10700 Meridian Ave N, 105 The Polyclinic Physical Therapy Northgate Annex, Seattle, WA 98133-8008 |
| Daniel G Schwartz | Orthopedic Surgery | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Betsy E Brown | Family Medicine | The Polyclinic | 8118 Green Lake Dr N, The Polyclinic Family Medicine Greenlake, Seattle, WA 98103-4412 |
| Sarah P Rougier | Internal Medicine | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Rita A Kostelik | Nurse Practitioner | The Polyclinic | 9709 3rd Ave Ne, Fl 2, Seattle, WA 98115-2077 |
| Scott T Mcintyre | Family Medicine | The Polyclinic | 3216 Ne 45th Pl, 200 The Polyclinic Family Medicine Sand Point, Seattle, WA 98105-4028 |
| Emily Katherine Pellegrini | Nurse Practitioner | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Christopher P Cannon | Orthopedic Surgery | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Vanessa Herring | Family Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Street Address |
904 7TH AVE THE POLYCLINIC MADISON CENTER |
| City | SEATTLE |
| State | WA |
| Zip | 98104-1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel G Schwartz | Orthopedic Surgery | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Emily Katherine Pellegrini | Nurse Practitioner | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Christopher P Cannon | Orthopedic Surgery | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Vanessa Herring | Family Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Antonius G Mulia | Internal Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Xiangping Ren | Interventional Pain Management | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Saima Kamran | Rheumatology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Laura J Lake | Nurse Practitioner | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Benduan D Yang | Neurology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Khaled S Elghonemy | Internal Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Delucchi | Chiropractic | 88 Spring St, Suite 123, Seattle, WA 98104-1099 | |
| Cassandra Giedt | Family Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Reshma Desai | Internal Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Edward Joseph Chesnutis Iii | Podiatry | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Bruce L Gimplin | Clinical Social Worker | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Fariha S Farid | Otolaryngology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Regina K Lagalbo | Obstetrics/gynecology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Erin C Moore | Dermatology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Sejin Maddaloni | Nurse Practitioner | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Shannon M Heitritter | Endocrinology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Find all physicians in zip 98104 | |||
| City | SEATTLE |
| Zip Code | 98104 |
| Specialty | DERMATOLOGY |
| City + Specialty | SEATTLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Marcos A Antezana.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.