Individual provider Active NPI

Garrett D Alcorn, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Burien, WA
National Provider Identifier
1891784468
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
MD00021159 Issued in 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
Last updated
Sep 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MD00021159 WA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000707 WA Practitioner - Pathology 5597652016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025209WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince Jan 1, 2016 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
The Polyclinic PLLC CurrentSince Jan 1, 2016 Accepting new patients
Lee a Sanders MD Inc PS Clinical Pathology/Laboratory Medicine PastSince Apr 14, 2003 Accepting new patients

Locations

1145 Broadway
Seattle, WA 98122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1891784468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16251 SYLVESTER RD SW",
            "address_2": "HIGHLINE PATHOLOGY ASSOCIATES PC GARRETT ALCORN MD",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663017",
            "telephone_number": "206-431-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 SYLVESTER RD SW",
            "address_2": "HIGHLINE PATHOLOGY ASSOCIATES PC GARRETT ALCORN MD",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663017",
            "telephone_number": "206-431-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "GARRETT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WA",
            "license": "MD00021159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.