Garrett D Alcorn, MD
Individual provider Active NPI Clinical Pathology/Laboratory Medicine Physician · Burien, WA
NPI 1891784468 · NPPES record last updated Sep 19, 2011
Key facts
- NPI
- 1891784468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician 207ZP0105X
- License
- MD00021159 (WA)
- Practice address
- 16251 Sylvester Rd SW
Highline Pathology Associates PC Garrett Alcorn MD
Burien, WA 98166-3017 - Phone
- (206) 431-5221
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040630000707 | WA | Practitioner - Pathology | 5597652016 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025209 | WA | MD | Ophthalmology Physician |
| MD00021159 | WA | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current |
Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic | Current |
Accepting new patients | |
| Lee a Sanders MD Inc PS | Clinical Pathology/Laboratory Medicine | Past |
Accepting new patients |
Locations
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
1145 Broadway
Seattle, WA 98122
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MD00021159 | WA | Yes |
Addresses
Primary practice location
16251 Sylvester Rd SW
Highline Pathology Associates PC Garrett Alcorn MD
Burien, WA 98166-3017
Mailing address
16251 Sylvester Rd SW
Highline Pathology Associates PC Garrett Alcorn MD
Burien, WA 98166-3017
Phone (206) 431-5221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034982 | Medicaid | WA | |
| 220004104 | Other | WA | RR MEDICARE |
Other providers in Burien, WA
- Steven Akuffo
- Razan R Al Kudsi
- Alan Cooper DDS PS
- Alan D. Barronian, M.D., Inc., P.S.
- Sarah Josephine Alarid
- Malia Alexander
- Robera Aman Aleye
- Mehran M Aliabadi
- Alicia F Chou, DDS PLLC
- Allasso LLC
All providers in Burien, WA · Clinical Pathology/Laboratory Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.