PROLIANCE SURGEONS, INC., P.S. (NPI# 1427356211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427356211 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | SKAGIT NORTHWEST ORTHOPEDICS-ANACORTES/COMMERICAL |
| Practice Address |
2720 Commercial Ave Anacortes WA 98221-2750 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 3604242400 |
| Practice Fax Number | 3604242418 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2013-12-30 |
| 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 |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 601484763 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 207X00000X | Orthopaedic Surgery | 601484763 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE | GAB03033 | 01 |
| Other Name | Type Code |
|---|---|
| SKAGIT NORTHWEST ORTHOPEDICS-ANACORTES/COMMERICAL | 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 |
2720 COMMERCIAL AVE |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| Find all providers in zip 98221 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| 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 |
| 1962968628 | Zachary Erin Schwartz | Orthopaedic Surgery | 9040 Fitzsimmons Drive- Orthopaedic Surgery, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-18 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1821443383 | Chelan County Public Hospital District No 2 | Orthopaedic Surgery | 505 B State, Route 20, Winthrop, WA 98862 | 2016-05-03 |
| 1609254747 | William M Fallon | Orthopaedic Surgery | 3990 Saltspring Dr, Ferndale, WA 98248-9598 | 2015-05-08 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1740600840 | Peters T. Otlans | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 501, Burien, WA 98166-3059 | 2014-04-16 |
| 1912324559 | Floyd Sekeramayi | Orthopaedic Surgery | 630 N Fairview Dr, Tacoma, WA 98406-1015 | 2014-03-20 |
| Find all providers with the same taxonomy | ||||
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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.