THE POLYCLINIC NPI 1982149761

NPI Details

THE POLYCLINIC is an ambulatory surgical clinic center in Seattle, WA. THE POLYCLINIC NPI is 1982149761. The provider is registered as an organization entity type.
The provider Is Doing Business As The Polyclinic Mohs Surgery.

The provider's business location address is:

1229 MADISON ST
SUITE 1090
SEATTLE, WA
ZIP 98104-586
Phone: (206) 860-5595
Fax: (206) 720-7447

The provider's authorized official is Lloyd David .
The authorized official title is Ceo and has the following contact phone number (206) 329-1760.

The CLIA number assigned to this NPI record is 50D0632049 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
• Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
• Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
• Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
• Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm (HCPCS:13151)
• Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
• Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
• Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm (HCPCS:13131)

The enumeration date for this NPI number is 1/3/2017 and was last updated on 1/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: