THE POLYCLINIC MOHS SURGERY
NPI 1982149761
Clinic/Center - Ambulatory Surgical in Seattle, WA

NPI Status: Active since January 03, 2017

Contact Information

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

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 50D0632049
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About THE POLYCLINIC MOHS SURGERY

This page provides the complete NPI Profile along with additional information for The Polyclinic Mohs Surgery, 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 1982149761 assigned on January 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as The Polyclinic Mohs Surgery. The authorized official of this NPI record is Lloyd David (Ceo)

NPI
1982149761
Provider Legal Name
THE POLYCLINIC
Other Organization Name
THE POLYCLINIC MOHS SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1229 MADISON ST SUITE 1090 SEATTLE, WA 98104
Location Phone
(206) 860-5595
Location Fax
(206) 720-7447
Mailing Address
1229 MADISON ST SUITE 1090 SEATTLE, WA 98104
Mailing Phone
(206) 860-5595
Mailing Fax
(206) 720-7447
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2017
Last Update Date
01-27-2017
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LLOYD DAVID

Authorized Official Title
CEO
Authorized Official Phone
(206) 329-1760

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.

Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm

This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.

This service was performed 23 times for 23 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

This service was performed 42 times for 42 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size is between 1.1-2.5 cm. This repair may involve multiple layers of sutures and could require reconstruction of the skin.

This service was performed 11 times for 11 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

This service was performed 159 times for 152 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

This service was performed 82 times for 79 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

This service was performed 38 times for 36 patients

Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less

A full-thickness skin graft involves transferring a layer of skin from one area of the body to the scalp, arms, or legs. This procedure, covering an area 20.0 sq cm or less, aids in healing wounds or areas with skin loss. It's a safe, common surgical practice.

This service was performed 15 times for 14 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

This service was performed 52 times for 50 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

This service was performed 15 times for 14 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

This service was performed 15 times for 14 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

This service was performed 38 times for 36 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

This service was performed 13 times for 13 patients

CLIA 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
50D0632049
Facility Type
Physician Office
Certificate Effective Date
January 18, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
JOHN STREIDL
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to The Polyclinic Mohs Surgery 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 1982149761, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 1 → 2 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 2 + 4 + 1 + 8 + 7 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1982149761.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dermatology
1229 MADISON ST, STE 1290
SEATTLE, WA 98104
Dermatology
1229 MADISON ST, STE 1290
SEATTLE, WA 98104
Dermatology
1229 MADISON ST, STE 1290
SEATTLE, WA 98104
Obstetrics & Gynecology
1229 MADISON ST, STE 1500
SEATTLE, WA 98104
Obstetrics & Gynecology
1229 MADISON ST, STE 1500
SEATTLE, WA 98104
Physician Assistant (Medical)
1229 MADISON ST, SUITE 1500
SEATTLE, WA 98104
Anesthesiology
1229 MADISON ST, SUITE 1440
SEATTLE, WA 98104
Nurse Practitioner
1229 MADISON ST, SUITE 1600
SEATTLE, WA 98104
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1229 MADISON ST, SUITE 1600
SEATTLE, WA 98104
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1229 MADISON ST, 750
SEATTLE, WA 98104
Nurse Practitioner (Women's Health)
1229 MADISON ST
SEATTLE, WA 98104
Ophthalmology
1229 MADISON ST, STE 1250
SEATTLE, WA 98104
Genetic Counselor, MS
1229 MADISON ST, #750
SEATTLE, WA 98104
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1229 MADISON ST, SUITE 750
SEATTLE, WA 98104
Radiology (Diagnostic Radiology)
1229 MADISON ST, SUITE 900
SEATTLE, WA 98104
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1229 MADISON ST, 750
SEATTLE, WA 98104
Colon & Rectal Surgery
1229 MADISON ST, SUITE 1410
SEATTLE, WA 98104
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1229 MADISON ST, OBSTETRIX/SWEDISH MEDICAL CENTER , SUITE 750
SEATTLE, WA 98104
Radiology (Diagnostic Radiology)
1229 MADISON ST, SUITE 900
SEATTLE, WA 98104
Obstetrics & Gynecology
1229 MADISON ST, STE 750
SEATTLE, WA 98104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982149761, enumerated as an "organization" on January 03, 2017.

The provider is located at 1229 MADISON ST SUITE 1090 SEATTLE, WA 98104 and the phone number is (206) 860-5595.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.