PROLIANCE SURGEONS, INC., P.S. (NPI# 1235741414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235741414 |
Entity Type | Organization |
Organization Name | PROLIANCE SURGEONS, INC., P.S. |
Practice Address |
1724 W Union Ave Ste 100 Tacoma WA 98405-2099 |
Mailing Address |
7308 Bridgeport Way W Ste 201 Lakewood WA 98499-8000 |
Practice Telephone | 2538305200 |
Practice Fax Number | 2537521160 |
Mailing Telephone | 2535827257 |
Mailing Fax Number | 2537220388 |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-08-19 |
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 | Allopathic & Osteopathic Physicians | ||
N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Puget Sound Orthopaedics | 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 |
1724 W UNION AVE STE 100 |
City | TACOMA |
State | WA |
Zip Code | 98405-2099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326588369 | Alyssa K. Leaning | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2017-02-23 |
1588127062 | Sung Ho Kim | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2019-04-10 |
1215407770 | Monica Huang | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2018-11-27 |
1710469614 | Chase Tyler Krumins | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405 | 2018-09-06 |
1881101905 | Sarah Konecny | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2018-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
Find all providers in zip 98405 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467095299 | Health First Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 15 Oregon Ave Ste L1, Tacoma, WA 98409-7411 | 2019-10-24 |
1720555808 | Elite Medical Inc | Durable Medical Equipment & Medical Supplies | 6002 Westgate Blvd Ste 272, Tacoma, WA 98406-2571 | 2018-10-26 |
1033621479 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 N Tacoma Ave Ste 101, Tacoma, WA 98403-3131 | 2017-10-25 |
1316482938 | Donald Joseph Dougherty Jr. | Durable Medical Equipment & Medical Supplies | 8411 Pacific Hwy E, Tacoma, WA 98422-3915 | 2017-01-05 |
1083006969 | Olympia Respiratory Services, LLC | Durable Medical Equipment & Medical Supplies | 1310 S Union Ave Ste B1, Tacoma, WA 98405-1907 | 2015-03-02 |
1487911665 | Robert Earl Stam Jr. | Durable Medical Equipment & Medical Supplies | 5510 6th Ave, Suite C, Tacoma, WA 98406-2646 | 2012-04-12 |
1801194618 | Ronaele | Durable Medical Equipment & Medical Supplies | 8632 S Asotin St, Tacoma, WA 98444-3174 | 2011-03-02 |
1255667291 | Security Management and Integration Company, Inc. | Durable Medical Equipment & Medical Supplies | 1423 E 29th St, Suite 317, Tacoma, WA 98404-4008 | 2009-10-27 |
1760615538 | Sound Sleep Solutions | Durable Medical Equipment & Medical Supplies | 2201 S 19th St Ste 207, Tacoma, WA 98405-2961 | 2009-08-27 |
1821252701 | Wheelchair Works Inc | Durable Medical Equipment & Medical Supplies | 11106 25th Ave E, Ste A, Tacoma, WA 98445-5300 | 2008-07-10 |
Find all providers in TACOMA |
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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.