PROLIANCE SURGEONS, INC., P.S. (NPI# 1083622112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083622112 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PUYALLUP AMBULATORY SURGERY CENTER |
| Practice Address |
1519 3rd St Se Suite 240 Puyallup WA 98372-3742 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2534451844 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | MR. DAVID G. FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Puyallup Ambulatory Surgery Center | 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 |
1519 3RD ST SE SUITE 240 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
| 1053764522 | Yarrow J. Mcconnell | Surgery | 1519 3rd St Se, Suite 230, Puyallup, WA 98372-3742 | 2016-07-19 |
| 1437443348 | Ryan J Street | Urology | 1519 3rd St Se, Suite 210, Puyallup, WA 98372-3742 | 2011-06-08 |
| 1417257668 | Eugenia Byrne | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2010-10-21 |
| 1730331240 | Brent Sissom | Radiologic Technologist | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-10-15 |
| 1174799282 | South Sound Neurosurgery Pllc | Clinic/Center | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-05-08 |
| 1003094889 | Gregory Ryan Lamberton | Urology | 1519 3rd St Se, Ste 210, Puyallup, WA 98372-3724 | 2008-02-04 |
| 1801098405 | Robin Yune Lee | Urology | 1519 3rd St Se, Suite 210, Puyallup, WA 98372-3742 | 2007-06-05 |
| 1104048594 | Partner Oncology Inc | Clinic/Center | 1519 3rd St Se, Suite 260, Puyallup, WA 98372 | 2007-05-03 |
| 1235261884 | Apple Physical Therapy Ps | Durable Medical Equipment & Medical Supplies | 1519 3rd St Se, Suite 104, Puyallup, WA 98372-3742 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104151562 | Ear Nose Throat & Plastic Surgery Associates of The South Sound Ps | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-10-02 |
| 1316175094 | Entpsa Puyallup Asc | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-07-01 |
| 1982853271 | Western Washington Endoscopy Centers LLC | Clinic/Center | 11216 Sunrise Blvd E, Suite 201, Bldg 3, Puyallup, WA 98374-8848 | 2008-09-11 |
| 1699817346 | Cascade Eye & Skin Centers PC | Clinic/Center | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-02-12 |
| 1215082557 | Auburn Outpatient Surgery Center, LLC | Clinic/Center | 208 17th Ave Se, Suite 202, Puyallup, WA 98372-4515 | 2007-01-25 |
| 1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
| 1972565745 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 210, Puyallup, WA 98374-2106 | 2006-04-05 |
| 1790744175 | Western Washington Endoscopy Centers LLC | Clinic/Center | 1703 S Meridian, Suite 203, Puyallup, WA 98371-7590 | 2006-03-22 |
| 1275510141 | Neospine Puyallup Spine Center, LLC | Clinic/Center | 1519 3rd St Se, Suite 102, Puyallup, WA 98372-3742 | 2005-12-30 |
| 1841286101 | Good Samaritan Surgery Center LLC | Clinic/Center | 1322 3rd St Se, 100, Puyallup, WA 98372-3771 | 2005-09-22 |
| Find all providers in PUYALLUP | ||||
Please comment or provide details below to improve the information on PROLIANCE SURGEONS, INC., P.S..
| 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.