PROLIANCE SURGEONS INC PS (NPI# 1316109309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316109309 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC PS |
| Other Organization Name | PLASTIC & RECONSTRUCTIVE SURGEONS ASC |
| Practice Address |
17930 Talbot Rd S Renton WA 98055-6230 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4252283187 |
| Practice Fax Number | 4252287972 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2014-06-30 |
| 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 |
|---|---|
| PLASTIC & RECONSTRUCTIVE SURGEONS ASC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727214 | Proliance Surgeons Inc Ps | Clinic/Center | 275 Southwest 160th Street, Suite 200, Burien, WA 98166-3059 | 2007-12-27 |
| 1598110603 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2016-04-26 |
| 1033574371 | Proliance Surgeons Inc Ps | Neurological Surgery | 801 Broadway, Suite 617, Seattle, WA 98122-4396 | 2015-12-30 |
| 1831492537 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-12-19 |
| 1457670648 | Proliance Surgeons Inc Ps | Clinic/Center | 1750 112th Ave Ne, Suite D050, Bellevue, WA 98004-3752 | 2010-05-27 |
| 1144362047 | Proliance Surgeons Inc Ps | Surgery | 14841 179th Ave Se, Suite 220, Monroe, WA 98272-1127 | 2007-02-14 |
| 1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
| 1326094491 | Proliance Surgeons Inc Ps | Clinic/Center | 515 Minor Ave, Suite 130, Seattle, WA 98104-2120 | 2006-05-26 |
| 1891776233 | Proliance Surgeons Inc Ps | Clinic/Center | 515 Minor Ave, Suite 200, Seattle, WA 98104-2120 | 2005-11-11 |
| Street Address |
17930 TALBOT RD S |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841347572 | David Teter Barker | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1841610169 | Proliance Surgeons, Inc., P.s. | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2014-04-25 |
| 1306263322 | Trenton Matthew Morton | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2014-03-27 |
| 1003179300 | Chad Michael Bailey | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055 | 2012-06-21 |
| 1023165768 | Wallace Han Jen Chang | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1861549479 | Patricia Ann Briscoe | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1538216296 | Jonathan James Hutter | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1205903515 | Ankle & Foot Clinic of Rento | Clinic/Center | 275 Sw 41st St, Renton, WA 98057-4930 | 2006-11-29 |
| 1881845907 | North Pacific Dermatology Ps | Clinic/Center | 1412 Sw 43rd St, Ste 205, Renton, WA 98057-4803 | 2008-10-07 |
| 1922259555 | N W Eye Surgeons, P C | Clinic/Center | 1412 Sw 43rd St, Suite 320, Renton, WA 98057-4803 | 2008-10-01 |
| 1225230634 | Valley Eye and Laser Center, Inc.,p.s. | Clinic/Center | 4011 Talbot Rd S, #210, Renton, WA 98055-5773 | 2007-06-05 |
| 1750321006 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 4033 Talbot Rd S, Suite 270, Renton, WA 98055-5772 | 2006-06-07 |
| 1033117270 | Smc Day Surgery | Clinic/Center | 17910 Talbot Rd S, Suite 100, Renton, WA 98055-6237 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROLIANCE SURGEONS INC PS.
| 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.