PROLIANCE SURGEONS INC PS (NPI# 1376727214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376727214 |
Entity Type | Organization |
Organization Name | PROLIANCE SURGEONS INC PS |
Other Organization Name | SOUTHWEST SEATTLE AMBULATORY SURGERY CENTER |
Practice Address |
275 Southwest 160th Street Suite 200 Burien WA 98166-3059 |
Practice Telephone | 2069880933 |
Mailing Telephone | 2069880933 |
Enumeration Date | 2007-12-27 |
Last Update Date | 2008-01-16 |
Authorized Official Name | MR. DAVID G FITZGERALD (CEO) |
Authorized Official Telephone | 2062648689 |
Is Organization Subpart | Y |
Parent Organization Name | PROLIANCE SURGEONS INC PS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
WA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Southwest Seattle Ambulatory Surgery Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1316109309 | Proliance Surgeons Inc Ps | Clinic/Center | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2008-06-30 |
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 |
275 SOUTHWEST 160TH STREET SUITE 200 |
City | BURIEN |
State | WA |
Zip Code | 98166-3059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
Find all providers in zip 98166 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033393012 | Michael E. Blatner, Md Ps | Clinic/Center | 16259 Sylvester Rd Sw Ste 302, Burien, WA 98166-3059 | 2007-12-26 |
1902868797 | Sw Seattle Ambulatory Surgery, LLC | Clinic/Center | 275 Sw 160th St, Suite 200, Burien, WA 98166-3003 | 2006-04-05 |
1942593165 | Vincent N Muoneke Md Ps | Clinic/Center | 16233 Sylvester Rd Sw, Suite 280, Burien, WA 98166-3045 | 2011-05-20 |
1902043284 | Aesthetic & General Dermatology of Seattle | Clinic/Center | 13610 1st Ave S, Burien, WA 98168-3404 | 2009-01-08 |
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 |
1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
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 |
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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.