PROLIANCE SURGEONS, INC., P.S. (NPI# 1417499575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417499575 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | EDMONDS ORTHOPEDIC CENTER/REHABILITATION SPORTS & SPINE CENTER |
| Practice Address |
3216 Norton Ave Suite 101 Everett WA 98201-4290 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4252524700 |
| Practice Fax Number | 4252524788 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | MR. DAVID FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 601484763 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Edmonds Orthopedic Center/Rehabilitation Sports & Spine Center | 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 |
3216 NORTON AVE SUITE 101 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268325 | Mark D. Papenhausen | Radiology | 3216 Norton Ave, Suite 201, Everett, WA 98201-4290 | 2006-01-04 |
| 1073753661 | Matthew Nathan Ashbach | Otolaryngology | 3216 Norton Ave, Suite 102, Everett, WA 98201-4290 | 2009-02-23 |
| 1891943221 | Samantha Jane Quade | Surgery | 3216 Norton Ave, Ste 202, Everett, WA 98201-4290 | 2008-08-27 |
| 1316158736 | Sarah B. Asher | Physician Assistant | 3216 Norton Ave, Ste 202, Everett, WA 98201-4290 | 2007-05-25 |
| 1255459640 | Roger Hou-chih Chen | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2007-03-26 |
| 1932266038 | Sangchi Tang | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2007-01-02 |
| 1902960727 | Sooik Park | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2006-12-19 |
| 1568537645 | Marshall Henry Titus | Dentist | 3216 Norton Ave, Everett, WA 98201-4290 | 2006-11-22 |
| 1003993890 | Rehabilitation, Sports & Spine Center, P.s. | Specialist | 3216 Norton Ave, Suite 101, Everett, WA 98201-4290 | 2006-11-01 |
| 1114038437 | Katherine Ione Moreno | Surgery | 3216 Norton Ave, Ste 202, Everett, WA 98201-4290 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386702926 | Electrodiagnosis & Rehabilitation Medicine Inc Ps | Physical Medicine & Rehabilitation | 3223 Colby Ave, Everett, WA 98201-4306 | 2006-12-05 |
| 1255350377 | Michael D Carpenter | Physical Medicine & Rehabilitation | 1303 Pacific Ave, Everett, WA 98201-4234 | 2006-07-19 |
| 1023457371 | Nishant Nannapaneni | Physical Medicine & Rehabilitation | 1303 Pacific Ave, Everett, WA 98201 | 2013-06-20 |
| 1356607980 | Andrew James Chrisman | Physical Medicine & Rehabilitation | 1303 Pacific Ave, Everett, WA 98201-4234 | 2012-04-09 |
| 1225369341 | Washington Advanced Pain Associates, Pllc | Physical Medicine & Rehabilitation | 3226 Nassau St, Suite A, Everett, WA 98201-4139 | 2010-01-29 |
| 1700011350 | Ryan K Hoke | Physical Medicine & Rehabilitation | 916 Pacific Ave, Second Floor, Everett, WA 98201-4147 | 2009-05-27 |
| 1740432731 | Providence Health & Services - Wa | Physical Medicine & Rehabilitation | 1330 Rockefeller Ave, Suite 230, Everett, WA 98201-1676 | 2008-10-21 |
| 1770743759 | Matthew Shusyang Brown | Physical Medicine & Rehabilitation | 4027 Hoyt Ave, Everett, WA 98201 | 2008-06-12 |
| 1598924417 | Alison Putnam | Physical Medicine & Rehabilitation | 916 Pacific Ave, Second Floor, Everett, WA 98201-4147 | 2008-06-05 |
| 1609993740 | Healthforce Partners, Inc | Physical Medicine & Rehabilitation | 3726 Broadway, Suite 101, Everett, WA 98201-5030 | 2007-03-23 |
| Find all providers in EVERETT | ||||
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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.