NPIMap

Organization Active NPI

The Polyclinic

  • Radiation Oncology Physician
  • Seattle, WA
National Provider Identifier
1962824219
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
THE POLYCLINIC
Practice address
1225 Madison St
Seattle, WA 98104-1336
Phone
(206) 386-3195
NPI assigned
Jan 6, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Lloyd David
Title
Ceo
Phone
(206) 860-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1225 Madison St
Seattle, WA 98104-1336

Mailing address

1225 Madison St
Seattle, WA 98104-1336
Phone (206) 386-3195

Other names 1

  • The Polyclinic Radiation Oncology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000788 WA Part B Supplier - Clinic/Group Practice 2163328196 Receives reassigned benefits from 964 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tacoma, WA; Seattle, WA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1225 Madison St
Seattle, WA 98104
Phone (206) 386-2323

1229 Madison St
Ste 1660
Seattle, WA 98104
Phone (206) 860-5582

Practitioners & affiliated clinicians

Practitioners 123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 123

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1962824219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041336",
            "telephone_number": "206-386-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041336",
            "telephone_number": "206-386-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POLYCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-860-4401"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Polyclinic Radiation Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.