PROLIANCE SURGEONS, INC., P.S.


Address: 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099
Phone: 2538305200

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Puget Sound Orthopaedics Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1724 W UNION AVE STE 100
City TACOMA
State WA
Zip Code 98405-2099

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City TACOMA
Zip Code 98405

Improve Information

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Dataset Information

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.

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