The Polyclinic

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE POLYCLINIC

Practice address

1229 Madison St
Suite 1090
Seattle, WA 98104-3586

Phone

(206) 860-5595

Fax

(206) 720-7447

NPI assigned

Jan 3, 2017

Organization subpart

No

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) 329-1760

Specialties & licenses 1

Addresses

Other names 1

• The Polyclinic Mohs Surgery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1982149761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "SUITE 1090",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043586",
            "telephone_number": "206-860-5595",
            "fax_number": "206-720-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "SUITE 1090",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043586",
            "telephone_number": "206-860-5595",
            "fax_number": "206-720-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POLYCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-329-1760"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Polyclinic Mohs Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Parkinson'S Fitness Project PLLC
• The Polyclinic
• The Polyclinic
• The Polyclinic
• The Polyclinic
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC

• Ambulatory Surgical Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.