PROLIANCE SURGEONS, INC., P.S (NPI# 1649445420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649445420 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S |
| Other Organization Name | PUGET SOUND EAR, NOSE AND THROAT |
| Practice Address |
9730 3rd Ave Ne Suite 201 Seattle WA 98115-2023 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2065269999 |
| Practice Fax Number | 2065269995 |
| Mailing Telephone | 2062648100 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2015-04-20 |
| 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 | 601484763 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Puget Sound Ear, Nose and Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326564790 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1659871622 | Proliance Surgeons, Inc., P.s | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026-8006 | 2018-02-16 |
| 1063924116 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2017-10-30 |
| 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 |
9730 3RD AVE NE SUITE 201 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639153 | Jeffrey D. Green | Dentist | 9730 3rd Ave Ne, Ste 103, Seattle, WA 98115-2023 | 2005-06-16 |
| 1255991261 | Orange Poppy 5 Element Acupuncture | Acupuncturist | 9730 3rd Ave Ne, Seattle, WA 98115-2023 | 2019-06-20 |
| 1982075065 | Audra Andrews | Acupuncturist | 9730 3rd Ave Ne, #202, Seattle, WA 98115-2023 | 2015-10-14 |
| 1972970895 | Emerald Center for Integrative Medicine, LLC | Non-Pharmacy Dispensing Site | 9730 3rd Ave Ne, Suite 202, Seattle, WA 98115-2023 | 2015-08-26 |
| 1639437973 | Thom Markeson Dentistry, Ps | Dentist | 9730 3rd Ave Ne, Suite 107, Seattle, WA 98115-2023 | 2012-04-24 |
| 1568734200 | Teresa Aileen Goldsmith | Naturopath | 9730 3rd Ave Ne, Suite #202, Seattle, WA 98115-2023 | 2012-01-26 |
| 1912211772 | Elizabeth S Smoots | Family Medicine | 9730 3rd Ave Ne, Suite 202, Seattle, WA 98115-2023 | 2010-08-03 |
| 1982832333 | Four Creeks Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 9730 3rd Ave Ne, Suite 200, Seattle, WA 98115-2023 | 2009-06-24 |
| 1538312038 | Gary L Bell Dds Ps | Dentist | 9730 3rd Ave Ne, Suite 204, Seattle, WA 98115-2023 | 2008-10-28 |
| 1730338252 | Edward Lloyd Mosshart | Counselor | 9730 3rd Ave Ne, Suite 101, Seattle, WA 98115-2023 | 2008-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
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| 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 |
|---|---|---|---|---|
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1043453533 | Sapna Ashok Patel | Otolaryngology | 600 Broadway Ste 280, Seattle, WA 98122-5371 | 2009-04-13 |
| 1588858534 | Deborah Susan Alt | Otolaryngology | 3451 22nd Ave W, Unit B, Seattle, WA 98199-2308 | 2007-09-04 |
| 1366590820 | Nilesh S. Shah | Otolaryngology | 1536 N 115th St Ste 340, Seattle, WA 98133-8412 | 2007-01-08 |
| 1376626796 | Agnes Kau Wah Yue | Otolaryngology | 1801 Nw Market Street, Suite 410, Seattle, WA 98107-3909 | 2006-10-21 |
| 1487757332 | Marc Dante Coltrera | Otolaryngology | Dept. Oto-hns, University of Washington, 1959 Ne Pacific, Seattle, WA 98195 | 2006-09-06 |
| 1609834258 | Constantine W Palaskas | Otolaryngology | 1221 Madison St Ste 1410, Seattle, WA 98104-3555 | 2006-05-03 |
| 1326005968 | Jonathan Chinn | Otolaryngology | 1551 Nw 54th, Ste 101, Seattle, WA 98107 | 2006-04-27 |
| 1518943646 | Joseph Christopher Sniezek | Otolaryngology | 1221 Madison St, Suite 1523, Seattle, WA 98104-3588 | 2005-12-20 |
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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.