PROLIANCE SURGEONS INC., P.S. (NPI# 1134165897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134165897 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC., P.S. |
| Other Organization Name | PROLIANCE HAND, WRIST AND ELBOW PHYSICIANS |
| Practice Address |
12911 120th Ave Ne Ste H220 Kirkland WA 98034-3064 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4258234224 |
| Practice Fax Number | 4258208975 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | MR. KENNETH OVERBEY (COO) |
| Authorized Official Telephone | 2068382583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
601484763 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
601484763 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
601484763 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LNI | 0161258 | 01 |
| WA | 1042990 | 05 |
| Other Name | Type Code |
|---|---|
| Proliance Hand, Wrist and Elbow Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085126 | Proliance Surgeons Inc., P.s. | Physical Therapist | 190 W Dayton St Ste 202, Edmonds, WA 98020-7221 | 2020-02-20 |
| 1083752042 | Proliance Surgeons Inc., P.s. | Occupational Therapist | 510 8th Ave Ne, Suite 340, Issaquah, WA 98029-5436 | 2007-02-02 |
| 1508893066 | Proliance Surgeons Inc., P.s. | Orthopaedic Surgery | 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | 2006-06-28 |
| 1073540894 | Proliance Surgeons Inc., P.s. | Surgery | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2006-06-27 |
| 1386687747 | Proliance Surgeons Inc., P.s. | Pain Medicine | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2006-06-14 |
| 1417990888 | Proliance Surgeons Inc., P.s. | Occupational Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2006-06-14 |
| 1699718973 | Proliance Surgeons Inc., P.s. | Surgery | 1412 Sw 43rd St, Suite 201, Renton, WA 98055-4801 | 2006-06-14 |
| 1417990797 | Proliance Surgeons Inc., P.s. | Internal Medicine | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2006-06-14 |
| 1821031113 | Proliance Surgeons Inc., P.s. | Surgery | 16122 8th Ave Sw, D-1, Burien, WA 98166-2967 | 2006-06-14 |
| 1134169931 | Proliance Surgeons Inc., P.s. | Surgery | 1600 E Jefferson St, Suite 101, Seattle, WA 98122-5698 | 2006-06-08 |
| Street Address |
12911 120TH AVE NE STE H220 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457789372 | Allyson M. Kessary | Occupational Therapist | 12911 120th Ave Ne Ste H220, Kirkland, WA 98034-3064 | 2013-10-31 |
| 1568718310 | Trevor W. Petrie | Occupational Therapist | 12911 120th Ave Ne Ste H220, Kirkland, WA 98034 | 2012-07-31 |
| 1073803276 | Samuel E. Galle | Orthopaedic Surgery | 12911 120th Ave Ne Ste H220, Kirkland, WA 98034-3064 | 2011-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417065525 | Allison Jane Maclennan | Orthopaedic Surgery | 12911 120th Ave Ne, H-10, Kirkland, WA 98034-3027 | 2006-08-28 |
| 1386604007 | Steven D Sun | Orthopaedic Surgery | 12911 120th Ave Ne, Suite H-10, Kirkland, WA 98034-3027 | 2006-03-25 |
| 1972562759 | Steven L Reed | Orthopaedic Surgery | 12911 120th Ave Ne, Suite H-10, Kirkland, WA 98034-3027 | 2006-03-21 |
| 1477512325 | Edward R North | Orthopaedic Surgery | 12911 120th Ave Ne, Suite H-10, Kirkland, WA 98034-3027 | 2006-03-20 |
| 1548251085 | Kurt A Anderson | Orthopaedic Surgery | 12911 120th Ave Ne, Suite H-10, Kirkland, WA 98034-3027 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326564790 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1689914541 | Sound Hand and Orthopedics, Pllc | Orthopaedic Surgery | 901 Boren Ave Ste 900, Seattle, WA 98104-3596 | 2013-02-28 |
| 1083831549 | Eugene Chan Farng | Orthopaedic Surgery | 4245 Roosevelt Way Ne # 354740, Seattle, WA 98105-6008 | 2007-04-19 |
| 1104942036 | Steven L Summerfield Md Inc Ps | Orthopaedic Surgery | 4361 Talbot Rd S Ste 102, Renton, WA 98055-6226 | 2007-03-22 |
| 1750450490 | Ghalib A. Husseini | Orthopaedic Surgery | 4446 Eld Ln Nw, Olympia, WA 98502-8806 | 2006-11-07 |
| 1467493890 | Northwest Hand Specialists, Inc., P.s. | Orthopaedic Surgery | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2006-06-09 |
| 1437102274 | Strait Orthopedic Specialists. Ps | Orthopaedic Surgery | 832 Georgiana St, Port Angeles, WA 98362-3512 | 2006-05-19 |
| 1871574624 | John A Miyano | Orthopaedic Surgery | 600 Broadway, Suite 440, Seattle, WA 98122 | 2005-11-09 |
| 1790293173 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2018-01-19 |
| 1174036826 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2017-11-15 |
| Find all providers with the same taxonomy | ||||
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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.