PROLIANCE SURGEONS, INC., P.S. (NPI# 1578801718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578801718 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PROLIANCE SURGICAL SPECIALISTS AT OVERLAKE |
| Practice Address |
1231 116th Ave Ne Suite 535 Bellevue WA 98004-3804 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4256881916 |
| Practice Fax Number | 4256881901 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2015-10-06 |
| 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 | 208600000X | Surgery | 601484763 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA LNI | 307116 | 01 |
| WA | 2024876 | 05 |
| Other Name | Type Code |
|---|---|
| Proliance Surgical Specialists at Overlake | 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 |
1231 116TH AVE NE SUITE 535 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996531 | Ann M Kolwitz | Obstetrics & Gynecology | 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 | 2005-07-14 |
| 1114536356 | Laura Ann Menenberg | Registered Nurse | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004 | 2020-07-23 |
| 1891238556 | Christine Park | Marriage & Family Therapist | 1231 116th Ave Ne, Bellevue, WA 98004-3804 | 2016-11-29 |
| 1467810283 | Tyler William Kuhk | Nurse Practitioner | 1231 116th Ave Ne, Suite 400, Bellevue, WA 98004-3804 | 2016-02-08 |
| 1013328400 | The Moore Center, PC | Psychiatric Hospital | 1231 116th Ave Ne, 8th Floor, Bellevue, WA 98004-3804 | 2014-05-19 |
| 1437426970 | Alexandra L. Degroot | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-11-29 |
| 1851675284 | Alysse M. Moury | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-10-04 |
| 1386930188 | Amy Melissa Foley | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-06-21 |
| 1003119009 | Jessica Swenson | Nurse Practitioner | 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 | 2010-12-13 |
| 1760784797 | Dana P Jergens | Physician Assistant | 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | 2010-11-24 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114153749 | April Phantana-angkool | Surgery | 1135 116th Ave Ne Ste 200, Bellevue, WA 98004-4695 | 2009-06-10 |
| 1033357983 | Eastside Surgical Associates, Pllc | Surgery | 1370 116th Ave Ne, Suite 209, Bellevue, WA 98004-3825 | 2009-01-30 |
| 1346404902 | Preetha Ali | Surgery | 1135 116th Ave Ne Ste 550, Bellevue, WA 98004-4623 | 2008-07-14 |
| 1790944494 | Helen H. Kim, Md, Pllc | Surgery | 12301 Ne 10th Place, Suite 100, Bellevue, WA 98005 | 2008-06-06 |
| 1265624092 | Daniel Nadig Md Pllc | Surgery | 1135 116th Ave Ne #550, Bellevue, WA 98004-4623 | 2007-08-15 |
| 1740294859 | Tat Kuen Choi | Surgery | 11511 Ne 10th Street, Bellevue, WA 98004-8578 | 2006-07-27 |
| 1508890138 | Troy Patrick Houseworth | Surgery | 1600 116th Ave Ne Ste 304, Bellevue, WA 98004-3057 | 2006-07-10 |
| 1457320095 | Erie Surgical Associates | Surgery | 1400 West Main St, Suite D, Bellevue, OH 44811 | 2006-03-16 |
| 1093789703 | David W Nelson | Surgery | 1135-116th Avenue Ne, Suite 605, Bellevue, WA 98004 | 2006-02-17 |
| 1477524809 | Robert Michael Taylor | Surgery | 2500 Bellevue Medical Center Dr, Bellevue, NE 68123-1591 | 2006-02-01 |
| 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.