THE POLYCLINIC


Address: 1225 Madison St, Seattle, WA 98104-1336
Phone: 2063863195

THE POLYCLINIC (NPI# 1962824219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962824219
Entity Type Organization
Organization Name THE POLYCLINIC
Other Organization Name THE POLYCLINIC RADIATION ONCOLOGY
Practice Address 1225 Madison St
Seattle
WA 98104-1336
Practice Telephone 2063863195
Mailing Telephone 2063863195
Enumeration Date 2014-01-06
Last Update Date 2014-01-07
Authorized Official Name LLOYD DAVID (CEO)
Authorized Official Telephone 2068604401
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Polyclinic Radiation Oncology Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881074649 The Polyclinic Internal Medicine 1414 10th Ave, Seattle, WA 98122-3857 2015-06-05
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
1134509995 The Polyclinic Allergy & Immunology 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 2015-06-05

Other Data Sources

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

Office Location

Street Address 1225 MADISON ST
City SEATTLE
State WA
Zip Code 98104-1336

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720356090 Herbert Carl Berry Radiology 65 E. Roanoke St., Seattle, WA 98102 2011-12-01
1861794992 Thomas Ward Griffin Radiology 3620 E Prospect St, Seattle, WA 98112-4440 2010-11-22
1407170467 Aaron Shingo Kusano Radiology 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 2010-03-19
1194800904 Lawrence Edmond Mulkerin Radiology University of Washington Medical Ct, 1959 Ne Pacific Street, Seattle, WA 98195-0001 2006-10-27
1952409773 Nina A Mayr Radiology Department of Radiation Oncology, 1959 Ne Pacific Street, Seattle, WA 98195-6043 2006-09-20
1578586962 Sandra S Vermeulen Radiology 550 17th Ave Ste A10, C/o Swedish Radiosurgery Center At Cherry Hill, Seattle, WA 98122-5789 2006-07-26
1417970252 Vivek K Mehta Radiology 1221 Madison, 1st Floor, C/o Swedish Cancer Institute, Seattle, WA 98104 2006-07-25
1194748715 John C Blasko Radiology 1101 Madison, Suite 1101, C/o Seattle Prostate Institute, Seattle, WA 98104 2006-07-25
1215950704 Robert M Meier Radiology 1560 N 115th Street, Suite G-16, C/o Swedish Cancer Institute @ Northwest, Seattle, WA 98133 2006-07-25
1902459472 Chan-kyung Jane Cho Radiology 1959 Ne Pacific St, Seattle, WA 98195-0001 2019-07-23
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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