THE POLYCLINIC PLASTIC SURGERY CENTER
NPI 1073944039
Clinic/Center - Ambulatory Surgical in Seattle, WA
NPI Status: Active since December 02, 2013
Contact Information
1229 MADISON ST
SUITE 1660
SEATTLE, WA
ZIP 98104
Phone: (206) 860-5582
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 50D0631667
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About THE POLYCLINIC PLASTIC SURGERY CENTER
This page provides the complete NPI Profile along with additional information for The Polyclinic Plastic Surgery Center, a provider established in Seattle, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1073944039 assigned on December 2013. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is The Polyclinic Plastic Surgery Center. The authorized official of this NPI record is Craig Pepin (Physician/owner)
- NPI
- 1073944039
- Provider Legal Name
- THE POLYCLINIC
- Other Organization Name
- THE POLYCLINIC PLASTIC SURGERY CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1229 MADISON ST SUITE 1660 SEATTLE, WA 98104
- Location Phone
- (206) 860-5582
- Mailing Address
- 1229 MADISON ST SUITE 1660 SEATTLE, WA 98104
- Mailing Phone
- (206) 860-5582
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-02-2013
- Last Update Date
- 05-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Placement of implant on separate day of breast reconstruction
This procedure involves placing an implant to recreate the natural shape of the chest, but not on the same day as the initial reconstruction surgery. It's a separate procedure performed once healing from the first surgery is complete.
This service was performed 15 times for 11 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D0631667
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 1993
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- NEELIMA KANDULA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to The Polyclinic Plastic Surgery Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073944039, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SEATTLE, WA 98104
SEATTLE, WA 98104
SEATTLE, WA 98104
SEATTLE, WA 98104
SEATTLE, WA 98104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073944039, enumerated as an "organization" on December 02, 2013.
The provider is located at 1229 MADISON ST SUITE 1660 SEATTLE, WA 98104 and the phone number is (206) 860-5582.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
