PROLIANCE SURGEONS, INC., P.S.


Address: 7105 W Hood Pl, Suite A103, Kennewick, WA 99336-6714
Phone: 5097355551

PROLIANCE SURGEONS, INC., P.S. (NPI# 1255683959) 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) 1255683959
Entity Type Organization
Organization Name PROLIANCE SURGEONS, INC., P.S.
Other Organization Name THREE RIVERS ENT
Practice Address 7105 W Hood Pl
Suite A103
Kennewick
WA 99336-6714
Mailing Address 805 Madison St
Suite 901
Seattle
WA 98104-1172
Practice Telephone 5097355551
Practice Fax Number 5097355552
Mailing Telephone 2062648100
Enumeration Date 2012-10-05
Last Update Date 2015-03-19
Authorized Official Name MR. DAVID G. FITZGERALD (CEO)
Authorized Official Telephone 2068382599
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 231H00000X Audiologist 601484763 WA Speech, Language and Hearing Service Providers
Y 207Y00000X Otolaryngology 601484763 WA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Three Rivers ENT 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 7105 W HOOD PL
SUITE A103
City KENNEWICK
State WA
Zip Code 99336-6714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588601181 Kelly Hofferber Audiologist 7105 W Hood Pl, Suite A-103, Kennewick, WA 99336-6714 2006-06-01
1679769442 Carla Cozad Specialist 7105 W Hood Pl, Suite 102, Kennewick, WA 99336-6714 2007-09-14
1538362421 Lillian B Barnes Massage Therapist 7105 W Hood Pl, Bldg A Suite 103, Kennewick, WA 99336-6714 2007-06-07
1467568568 Larae Mcgehee Specialist 7105 W Hood Pl, Suite 103, Kennewick, WA 99336-6714 2006-08-22
1760598874 Carinn Garrido Specialist 7105 W Hood Pl, Suite 103, Kennewick, WA 99336-6714 2006-08-22
1184730269 Allison Ursala Dayton Specialist 7105 W Hood Pl, Suite 103, Kennewick, WA 99336-6714 2006-08-22
1609981034 Terry William Ray Specialist 7105 W Hood Pl, Suite 103, Kennewick, WA 99336-6714 2006-08-19
1508979816 Suzanne Miller Specialist 7105 W Hood Pl, Suite 103, Kennewick, WA 99336-6714 2006-08-17
1235172677 Randall Fong Otolaryngology 7105 W Hood Pl, Suite A 103, Kennewick, WA 99336-6714 2006-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497393888 Kelsie D Parvinen Massage Therapist 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 2019-12-16
1508403858 New U Women's Clinic & Aesthetics Pllc Nurse Practitioner 35 S Louisiana St, Suite A120, Kennewick, WA 99336 2019-12-05
1457901944 Solar Mobility LLC Durable Medical Equipment & Medical Supplies 949 S Keller St, Kennewick, WA 99336 2019-09-17
1023662590 Shane Arthur Gulley Counselor 500 N. Morain St Suite 1250, Kennewick, WA 99336 2019-08-01
1063973873 Farah Saleem Student in an Organized Health Care Education/Training Program 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 2019-03-26
1255897690 Thomas Stanley Mcgowan Student in an Organized Health Care Education/Training Program Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 2019-02-11
1770068280 Remedy Urgent Mobile Medicine Pllc Nurse Practitioner 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 2018-10-01
1740767011 Zachary Wilber Fournier Specialist/Technologist Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 2018-07-19
1649780693 Alan Arnold Hanson Chiropractor 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 2017-10-04
1922528827 Sarah Nicole Childress Counselor 415 North Morain St, Kennewick, WA 99336 2017-06-21
Find all providers in zip 99336

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235172677 Randall Fong Otolaryngology 7105 W Hood Pl, Suite A 103, Kennewick, WA 99336-6714 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093220980 Sound E.n.t. Consultants, LLC Otolaryngology 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 2017-12-13
1104203793 Eric Andrew Eisen Otolaryngology 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 2015-05-03
1598182990 Annie Kyunga Ahn Otolaryngology 4033 Talbot Rd S Ste 540, Renton, WA 98055 2014-03-24
1760810311 Gerald Guy Randolph Otolaryngology 10491 E State Route 106, Union, WA 98592 2013-10-17
1689007320 Aria Jafari Otolaryngology 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 2013-08-16
1326306317 Priyanka Shah O'brien Otolaryngology 1801 1st Ave Ste 3a, Longview, WA 98632-3271 2012-04-26
1033486402 Richard J. Cavell Otolaryngology 1013 Marshall Dr, Camano Island, WA 98282-8787 2011-11-29
1457628497 Robin Lee Downey Otolaryngology 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 2011-11-18
1588955785 Nicholas C Vanburen Otolaryngology 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 2011-04-22
1881925956 Steve Lars Risa Otolaryngology 4538 177th Ave Se, Bellevue, WA 98006-6519 2010-01-28
Find all providers with the same taxonomy

Competitor

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City KENNEWICK
Zip Code 99336

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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