PROLIANCE SURGEONS, INC., P.S. (NPI# 1487823597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487823597 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | BELLEVUE EAR NOSE AND THROAT - WOODINVILLE |
| Practice Address |
17000 140th Ave Ne Suite 205 Woodinville WA 98072-6928 |
| Mailing Address |
1135 116th Ave Ne Suite 500 Bellevue WA 98004-4623 |
| Practice Telephone | 4254543938 |
| Practice Fax Number | 4254542568 |
| Mailing Telephone | 4254543938 |
| Mailing Fax Number | 4254542568 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | MR. DAVID G FITZGERALD (CEO) |
| Authorized Official Telephone | 2062648100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bellevue Ear Nose and Throat - Woodinville | 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 |
17000 140TH AVE NE SUITE 205 |
| City | WOODINVILLE |
| State | WA |
| Zip Code | 98072-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589772 | Gene E. Graff | Specialist | 17000 140th Ave Ne, Unit 206, Woodinville, WA 98072-6928 | 2005-06-23 |
| 1386091619 | Elizabeth Neuzil | Pediatrics | 17000 140th Ave Ne, Woodinville, WA 98072-6928 | 2016-05-17 |
| 1932554854 | Woodinville Pediatrics | Home Health | 17000 140th Ave Ne, Woodinville, WA 98072-6928 | 2016-04-28 |
| 1730529447 | Youngjae Yoon Dmd Pllc | Clinic/Center | 17000 140th Ave Ne, #201, Woodinville, WA 98072-6928 | 2013-06-26 |
| 1487988580 | Kathleen L Mckay | Dentist | 17000 140th Ave Ne, 202, Woodinville, WA 98072-6928 | 2009-09-23 |
| 1033363221 | Youngjae Yoon | Dentist | 17000 140th Ave Ne, #201, Woodinville, WA 98072-6928 | 2008-11-14 |
| 1053578930 | Melissa Lynn Kindahl | Nurse Practitioner | 17000 140th Ave Ne, Suite 102, Woodinville, WA 98072-6928 | 2008-05-19 |
| 1699962670 | Rama Oskouian, Dmd, Pllc | Dentist | 17000 140th Ave Ne, Suite 302, Woodinville, WA 98072-6928 | 2007-10-03 |
| 1649466020 | Janet Martha Ford | Family Medicine | 17000 140th Ave Ne, # 101, Woodinville, WA 98072-6928 | 2007-09-19 |
| 1093905242 | Christine Ellen Lundberg | Nurse Practitioner | 17000 140th Ave Ne, Suite 102, Woodinville, WA 98072-6928 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832466 | Optum Infusion Services 501 Inc | Durable Medical Equipment & Medical Supplies | 8131 West Bostian Road, Suite A345, Woodinville, WA 98072 | 2019-10-15 |
| 1326511973 | Charyle Rae Tasanasanta | Massage Therapist | 17311 Ne 175th Ave, Building C, Suite 100, Woodinville, WA 98072 | 2019-01-07 |
| 1508360868 | Nitin Thapa | Naturopath | 14221 Ne 181st Pl Apt P203, Woodinville, WA 98072 | 2018-03-21 |
| 1588189963 | Sally Winkel | Occupational Therapist | 17311 135 Ave Ne, Suite C200, Woodinville, WA 98072 | 2017-08-07 |
| 1548783848 | Matt Clute | Chiropractor | 13110 Ne 177th Pl #1005, Woodinville, WA 98072 | 2017-07-19 |
| 1427506294 | Bobbi Arnold | Physical Therapy Assistant | 17918 Ne 157th Street, Woodinville, WA 98072 | 2016-09-21 |
| 1194175208 | Yu Yuan Zhang | Optometrist | 24008 Woodinville-snohomish Rd, Woodinville, WA 98072 | 2016-06-20 |
| 1093171357 | Anne Cahanin | Counselor | 17220 127th Pl Ne Ste 101, Woodinville, WA 98072 | 2016-01-01 |
| 1710365754 | Alexandra Castro | Pharmacist | 16427 Ne 145th St, Woodinville, WA 98072 | 2015-05-11 |
| 1649679911 | Susan Lewis | Nutritionist | 17924 140th Ave Ne Ste 230, Woodinville, WA 98072 | 2014-08-22 |
| Find all providers in zip 98072 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220980 | Sound E.n.t. Consultants, LLC | Otolaryngology | 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 | 2017-12-13 |
| 1104203793 | Eric Andrew Eisen | Otolaryngology | 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 | 2015-05-03 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1760810311 | Gerald Guy Randolph | Otolaryngology | 10491 E State Route 106, Union, WA 98592 | 2013-10-17 |
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1326306317 | Priyanka Shah O'brien | Otolaryngology | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2012-04-26 |
| 1033486402 | Richard J. Cavell | Otolaryngology | 1013 Marshall Dr, Camano Island, WA 98282-8787 | 2011-11-29 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1588955785 | Nicholas C Vanburen | Otolaryngology | 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 | 2011-04-22 |
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
| Find all providers with the same taxonomy | ||||
| City | WOODINVILLE |
| Zip Code | 98072 |
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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.