PROLIANCE SURGEONS INC PS (NPI# 1457670648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457670648 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC PS |
| Other Organization Name | THE RETINA SURGERY CENTER |
| Practice Address |
1750 112th Ave Ne Suite D050 Bellevue WA 98004-3752 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2062153850 |
| Practice Fax Number | 2062153870 |
| Mailing Telephone | 2062648100 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2012-02-29 |
| 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 |
PENDING | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Retina Surgery Center | 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 |
| 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 |
1750 112TH AVE NE SUITE D050 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459420 | Craig G Wells | Ophthalmology | 1750 112th Ave Ne, Sutie D050, Bellevue, WA 98004-3752 | 2005-07-06 |
| 1366976656 | Daisy Y Wan | Dietitian, Registered | 1750 112th Ave Ne, Bldg 4 Ste E175, Bellevue, WA 98004-3752 | 2017-04-13 |
| 1255871224 | Leslie Renee Merklin-barber | Registered Nurse | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2017-02-24 |
| 1770971830 | Over Lake Medical Center | Clinic/Center | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2014-12-24 |
| 1457786246 | Christy Pauline Nelson | Nurse Practitioner | 1750 112th Ave Ne, Suite A101, Bellevue, WA 98004-3752 | 2013-09-11 |
| 1821423369 | Jake Alan Marshall | Specialist/Technologist | 1750 112th Ave Ne, Suite D-154, Bellevue, WA 98004-3752 | 2013-09-03 |
| 1932531654 | Kate Ruth Casey | Counselor | 1750 112th Ave Ne, Suite E168, Bellevue, WA 98004-3752 | 2013-08-05 |
| 1881035053 | Christina Davis Winkley | Physician Assistant | 1750 112th Ave Ne, Suite D 050, Bellevue, WA 98004-3752 | 2013-07-16 |
| 1124462387 | Danielle Kathryn Ivanova | Psychiatry & Neurology | 1750 112th Ave Ne, Ste B-102, Bellevue, WA 98004 | 2013-04-18 |
| 1467721498 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1750 112th Ave Ne, Suite D-050, Bellevue, WA 98004-3752 | 2011-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970117 | Northwest Surgical Development of Bellevue LLC | Clinic/Center | 636 120th Ave Ne Ste 202, Bellevue, WA 98005-3028 | 2014-07-15 |
| 1760808836 | Overlake Reproductive Health Inc Ps. | Clinic/Center | 11232 Ne 15th St, Suite 201, Bellevue, WA 98004-3739 | 2014-03-12 |
| 1265614523 | Sam Naficy, Md, Ps, Inc | Clinic/Center | 1110 112th Ave Ne, Suite 150, Bellevue, WA 98004-4509 | 2007-11-28 |
| 1104931039 | Bellegrove Ob/gyn, Inc. Ps | Clinic/Center | 1200 112th Ave Ne Ste C115, Bellevue, WA 98004-3745 | 2006-08-20 |
| 1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
| 1538769302 | Spine Solutions of Green Bay LLC | Clinic/Center | 2595 Development Dr Ste 150, Bellevue, WI 54311-4288 | 2020-10-29 |
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1144708819 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-08-03 |
| 1366884835 | Renaissance Center | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-07-24 |
| 1699112144 | Christine E Nygaard, M.d., P.s. | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-05-23 |
| Find all providers in BELLEVUE | ||||
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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.