PROLIANCE SURGEONS, INC., P.S. (NPI# 1346609575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346609575 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | MINOR & JAMES SURGICAL SPECIALTIES |
| Practice Address |
515 Minor Ave Seattle WA 98104-2120 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2063869500 |
| Practice Fax Number | 2063869605 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-07-20 |
| 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 | 261Q00000X | Clinic/Center | 601484763 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2057738 | 05 |
| Other Name | Type Code |
|---|---|
| MINOR & JAMES SURGICAL SPECIALTIES | 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 |
515 MINOR AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461507 | William E Berg | Psychiatry & Neurology | 515 Minor Ave, #210, Seattle, WA 98104 | 2005-07-20 |
| 1235629213 | Hailey Mayo | Specialist/Technologist | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-05-15 |
| 1043717903 | Jennifer Weaver | Nurse Practitioner | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-04-08 |
| 1932635133 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 515 Minor Ave, Suite 160, Seattle, WA 98104-2120 | 2017-05-08 |
| 1962942896 | Anne Hubbell | Dietitian, Registered | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2017-02-25 |
| 1023565975 | Laurel Charbonneau | Physical Therapist | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2016-09-08 |
| 1740636018 | Swedish Health Services | Clinical Medical Laboratory | 515 Minor Ave, Suite 100, Seattle, WA 98104-2120 | 2016-05-05 |
| 1891149027 | Swedish Health Services | Radiology | 515 Minor Ave, Suite 110, Seattle, WA 98104-2120 | 2016-04-13 |
| 1841664430 | Shannon Noel Narasimhan | Physical Therapist | 515 Minor Ave, Ste 22, Seattle, WA 98104-2120 | 2015-11-19 |
| 1255703963 | Lindsay Sellin | Nurse Practitioner | 515 Minor Ave, 3rd Floor, Seattle, WA 98104-2120 | 2015-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1952965915 | Dr. Jessica Wendling, LLC | Clinic/Center | 5401 Leary Ave Nw Ste 206, Seattle, WA 98107-4070 | 2019-04-25 |
| 1376003095 | Express Care Ak LLC | Clinic/Center | 800 Fifth Ave Ste 900, Seattle, WA 98104-3176 | 2019-03-20 |
| 1003373150 | Every Body Moves, LLC | Clinic/Center | 5238 57th Ave S, Seattle, WA 98118-2517 | 2019-02-25 |
| 1598243784 | Women's Accessible Medical Service, Ps | Clinic/Center | 4528 8th Ave Ne Ste 1a, Seattle, WA 98105-1738 | 2018-07-31 |
| 1295257384 | Gary R Feldman Dds Md Ps | Clinic/Center | 1221 Madison St Ste 1116, Seattle, WA 98104-3536 | 2017-07-11 |
| 1639607310 | Trust Women Foundation | Clinic/Center | 1325 4th Ave Ste 1240, Seattle, WA 98101-2516 | 2017-05-25 |
| Find all providers in SEATTLE | ||||
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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.