THE POLYCLINIC (NPI# 1740660513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740660513 |
| Entity Type | Organization |
| Organization Name | THE POLYCLINIC |
| Other Organization Name | THE POLYCLINIC NORTHWEST PEDIATRICS |
| Practice Address |
11545 15th Ave Ne Suite 205 Seattle WA 98125-6358 |
| Mailing Address |
1145 Broadway Seattle WA 98122-4201 |
| Practice Telephone | 2063642010 |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| The Polyclinic Northwest Pediatrics | 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 |
| 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 |
11545 15TH AVE NE SUITE 205 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-6358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793582 | Eric Wayne Chrisinger | Pediatrics | 11545 15th Ave Ne, Suite 205, Seattle, WA 98125-6358 | 2005-10-08 |
| 1649425935 | Ok R Lee | Denturist | 11545 15th Ave Ne, #201, Seattle, WA 98125-6358 | 2008-12-01 |
| 1083782791 | Keith A Dung | Dentist | 11545 15th Ave Ne, Seattle, WA 98125-6358 | 2006-12-01 |
| 1114941762 | Northwest Pediatrics, Pllc | Pediatrics | 11545 15th Ave Ne, Seattle, WA 98125-6358 | 2006-07-27 |
| 1912936493 | Rhonda Lynn Levitt | Pediatrics | 11545 15th Ave Ne, Seattle, WA 98125-6358 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| 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.