Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Theodore Carroll Edwards, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669730180

Dr. Theodore Carroll Edwards, MD is a Family Practice in Seattle, Washington. Qualified in 2011, 15 years ago. Practices with The Polyclinic PLLC, a 366-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9709 3rd Ave NE Fl 2
Seattle, WA 98115-2077
Phone: (206) 860-2209
Fax: (206) 720-7449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Avenue, Minneapolis, MN 55415 — (407) 782-2457

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60838557 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669730180
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2012
Last updated in NPPESJuly 17, 2018
Mailing address240 Pilgrim Rd, West Palm Bch, FL 33405-3380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Polyclinic Pllc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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