PROLIANCE SURGEONS, INC., P.S. (NPI# 1003441783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003441783 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | SEATTLE ORTHOPEDIC CENTER MRI |
| Practice Address |
2409 N 45th St Seattle WA 98103-6907 |
| Practice Telephone | 2066338100 |
| Practice Fax Number | 2066321657 |
| Mailing Telephone | 2066338100 |
| Mailing Fax Number | 2066321657 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. KENNETH G. OVERBEY (COO) |
| Authorized Official Telephone | 2068382583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Seattle Orthopedic Center MRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1104474808 | Proliance Surgeons, Inc., P.s. | Durable Medical Equipment & Medical Supplies | 1231 116th Ave Ne Ste 755, Bellevue, WA 98004-3804 | 2019-08-27 |
| 1417512021 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 | 2019-05-08 |
| 1205307253 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 901 Boren Ave Ste 711, Seattle, WA 98104-3301 | 2018-12-16 |
| 1972073799 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 150 Andover Park W, Tukwila, WA 98188-2801 | 2018-12-05 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1184140477 | Proliance Surgeons, Inc., P.s. | Radiology | 6808 220th St Sw Ste 105, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1255736971 | Proliance Surgeons, Inc., P.s. | Surgery | 1519 3rd St Se Ste 210, Puyallup, WA 98372-3742 | 2014-10-23 |
| 1467883116 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 1017 20th St, Anacortes, WA 98221-2505 | 2013-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Washington State Corporations | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Street Address |
2409 N 45TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-6907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376525774 | Erik L. Nielsen | Occupational Therapist | 2409 N 45th St, Seattle, WA 98103-6907 | 2005-11-19 |
| 1538712641 | Meghan Kristine Mcdevitt | Physician Assistant | 2409 N 45th St, Seattle, WA 98103-6907 | 2019-07-17 |
| 1982189023 | Corbin James Brokaw | Physician Assistant | 2409 N 45th St, Seattle, WA 98103-6907 | 2018-09-25 |
| 1962860098 | Nicole E Frailey | Physician Assistant | 2409 N 45th St, Seattle, WA 98103-6907 | 2016-02-03 |
| 1619343936 | Arnold Remmy Ombati | Physician Assistant | 2409 N 45th St, Seattle, WA 98103-6907 | 2015-08-20 |
| 1841681244 | Melissa Rice | Specialist/Technologist | 2409 N 45th St, Seattle, WA 98103-6907 | 2015-02-07 |
| 1326457839 | Michael H. Kim-orden | Orthopaedic Surgery | 2409 N 45th St, Seattle, WA 98103-6907 | 2014-08-08 |
| 1437343241 | Susanna Lucinda Lin | Physical Therapist | 2409 N 45th St, Seattle, WA 98103-6907 | 2007-09-05 |
| 1548476658 | Nicole C. Marble | Physical Therapist | 2409 N 45th St, Seattle, WA 98103-6907 | 2007-05-15 |
| 1740409317 | Heidi R. Blackie | Occupational Therapist | 2409 N 45th St, Seattle, WA 98103 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982653952 | Capital Imaging LLC | Clinic/Center | 220 Sw 43rd St, Renton, WA 98055-4936 | 2006-05-08 |
| 1952399123 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2005-10-11 |
| 1710980511 | Open Mri of Federal Way, L.L.C. | Clinic/Center | 33301 9th Ave S, Ste 105, Federal Way, WA 98003-2600 | 2005-05-24 |
| 1588899173 | Dynamic Medical Diagnostic Imaging Centers, LLC | Clinic/Center | 5038 Tacoma Mall Blvd, Suite C, Tacoma, WA 98409-7103 | 2009-05-26 |
| 1891946257 | Olympia Neurology, Pllc | Clinic/Center | 128 Lilly Rd Ne, Suite 101, Olympia, WA 98506-7400 | 2008-10-03 |
| 1619127206 | Olympia Orthopaedic Associates, Pllc | Clinic/Center | 3901 Capital Mall Dr Sw, Ste C, Olympia, WA 98502-8654 | 2008-09-19 |
| 1174799282 | South Sound Neurosurgery Pllc | Clinic/Center | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-05-08 |
| 1467666701 | Objective Diagnostics & Research Ps | Clinic/Center | 4803 Center St, Tacoma, WA 98409-2319 | 2007-05-09 |
| 1013071877 | Cascade Imaging Associates L.L.C. | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 1932262904 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 27005 168th Pl Se, Suite 201, Covington, WA 98042-4902 | 2006-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.