PROLIANCE SURGEONS, INC., P.S (NPI# 1659871622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659871622 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S |
| Other Organization Name | ANKLE AND FOOT OF EDMONDS |
| Practice Address |
7320 216th St Sw Ste 320b Edmonds WA 98026-8006 |
| Mailing Address |
805 Madison St Ste 901 Seattle WA 98104-1172 |
| Practice Telephone | 4257756996 |
| Practice Fax Number | 4256708905 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | CORI MARIE PLEASANT (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Telephone | 2068382585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
601484763 | WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Ankle and Foot of Edmonds | 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 |
| 1063924116 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2017-10-30 |
| 1649445420 | Proliance Surgeons, Inc., P.s | Otolaryngology | 9730 3rd Ave Ne, Suite 201, Seattle, WA 98115-2023 | 2008-04-23 |
| 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 |
7320 216TH ST SW STE 320B |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-8006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831297258 | Joanne M Gormley | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026 | 2006-09-20 |
| 1053623983 | Eric G Powell | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026-8006 | 2010-07-08 |
| 1073691473 | Erin M Orourke | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026-8006 | 2006-11-02 |
| 1760566426 | Darren J Wardle | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026 | 2006-10-25 |
| 1386744324 | Rex Z Nilson | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053623983 | Eric G Powell | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026-8006 | 2010-07-08 |
| 1760566426 | Darren J Wardle | Podiatrist | 7320 216th St Sw Ste 320b, Edmonds, WA 98026 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 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.