PROLIANCE SURGEONS INC., P.S. (NPI# 1699718973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699718973 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC., P.S. |
| Other Organization Name | SURGICAL SPECIALISTS |
| Practice Address |
1412 Sw 43rd St Suite 201 Renton WA 98055-4801 |
| Mailing Address |
720 Olive Way Suite 1505 Seattle WA 98101-1878 |
| Practice Telephone | 4252286076 |
| Practice Fax Number | 4252265224 |
| Mailing Telephone | 2068382590 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |
| 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 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Surgical Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134165897 | Proliance Surgeons Inc., P.s. | Orthopaedic Surgery | 12911 120th Ave Ne Ste H220, Kirkland, WA 98034-3064 | 2006-06-21 |
| 1467085126 | Proliance Surgeons Inc., P.s. | Physical Therapist | 190 W Dayton St Ste 202, Edmonds, WA 98020-7221 | 2020-02-20 |
| 1083752042 | Proliance Surgeons Inc., P.s. | Occupational Therapist | 510 8th Ave Ne, Suite 340, Issaquah, WA 98029-5436 | 2007-02-02 |
| 1508893066 | Proliance Surgeons Inc., P.s. | Orthopaedic Surgery | 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | 2006-06-28 |
| 1073540894 | Proliance Surgeons Inc., P.s. | Surgery | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2006-06-27 |
| 1386687747 | Proliance Surgeons Inc., P.s. | Pain Medicine | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2006-06-14 |
| 1417990888 | Proliance Surgeons Inc., P.s. | Occupational Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2006-06-14 |
| 1417990797 | Proliance Surgeons Inc., P.s. | Internal Medicine | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2006-06-14 |
| 1821031113 | Proliance Surgeons Inc., P.s. | Surgery | 16122 8th Ave Sw, D-1, Burien, WA 98166-2967 | 2006-06-14 |
| 1134169931 | Proliance Surgeons Inc., P.s. | Surgery | 1600 E Jefferson St, Suite 101, Seattle, WA 98122-5698 | 2006-06-08 |
| Street Address |
1412 SW 43RD ST SUITE 201 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654331 | N W Eye Surgeons P C | Ophthalmology | 1412 Sw 43rd St, Suite 310, Renton, WA 98057-4803 | 2005-07-21 |
| 1568085454 | Jacqueline R. Buckley, LLC | Podiatrist | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2020-05-26 |
| 1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
| 1336690684 | Geoffrey Natividad | Pharmacist | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-21 |
| 1386195048 | Reddi Enterprises Inc | Pharmacy | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-18 |
| 1417405333 | Evergreen Treatment Services | Clinic/Center | 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 | 2016-09-20 |
| 1396192803 | Concerto Medical Group of Washington, PC | General Practice | 1412 Sw 43rd St, Suite 315, Renton, WA 98057-4803 | 2016-05-16 |
| 1225421688 | Associated Valley Counseling, LLC | Counselor | 1412 Sw 43rd St, Suite 111, Renton, WA 98057-4803 | 2015-03-10 |
| 1649660853 | Lauren Rainbow | Social Worker | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2015-01-26 |
| 1336539733 | Washington Center for Pain Management LLC | Anesthesiology | 1412 Sw 43rd St, Suite 110, Renton, WA 98057-4803 | 2015-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| 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 |
|---|---|---|---|---|
| 1972700458 | Shahram Aarabi | Surgery | 4033 Talbot Road S Ste 350, Medical Arts Center, Renton, WA 98055 | 2007-06-28 |
| 1104936020 | Rebecca Stickler | Surgery | 4033 Talbot Rd S Ste 530, Renton, WA 98055-5700 | 2006-08-30 |
| 1235108960 | Michelle M Eden | Surgery | 4033 Talbot Rd. S., Ste #530, Renton, WA 98055 | 2006-03-15 |
| 1669798021 | Lucia Yun Chou | Surgery | 4033 Talbot Rd S, Ste 530, Renton, WA 98055-5772 | 2010-04-10 |
| 1073799615 | Valley Surgical Associates, P.s. | Surgery | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2008-01-14 |
| 1215137930 | Heather Wheeler | Surgery | 4033 Talbot Rd S Ste 530, Renton, WA 98055-5700 | 2007-07-20 |
| 1245381946 | Martin Bouska Durtschi | Surgery | 4033 Talbot Rd S, Ste 530, Renton, WA 98055-5772 | 2007-01-16 |
| 1790833408 | Trisha A Unger | Surgery | 4033 Talbot Rd S Ste 530, Renton, WA 98055-5700 | 2007-01-08 |
| 1992852578 | Wayne M Lau | Surgery | 4011 Talbot Rd S, Ste 420, Renton, WA 98055-5773 | 2007-01-04 |
| 1609932102 | Public Hospital District #1 of King County | Surgery | 4033 Talbot Rd S, Ste 560, Renton, WA 98055-5772 | 2006-12-29 |
| Find all providers in RENTON | ||||
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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.