Provider Demographics
NPI:1295899144
Name:HEARTBEAT MEDICAL INSTITUTE PLLC
Entity type:Organization
Organization Name:HEARTBEAT MEDICAL INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:POLLAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-244-3363
Mailing Address - Street 1:16233 SYLVESTER RD SW STE 260
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3044
Mailing Address - Country:US
Mailing Address - Phone:206-244-3363
Mailing Address - Fax:206-444-6189
Practice Address - Street 1:16233 SYLVESTER RD SW STE 260
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3044
Practice Address - Country:US
Practice Address - Phone:206-244-3363
Practice Address - Fax:206-444-6189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00039797207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1118223Medicaid
WAF31377Medicare UPIN
WAAB40307Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
WA1118223Medicaid