PROLIANCE SURGEONS, INC., P.S. (NPI# 1750321006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750321006 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PROLIANCE ORTHOPEDIC ASSOCIATES AMBULATORY SURGERY CENTER |
| Practice Address |
4033 Talbot Rd S Suite 270 Renton WA 98055-5772 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4252262041 |
| Practice Fax Number | 4252262405 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-06-17 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
601484763 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Proliance Orthopedic Associates Ambulatory Surgery Center | 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 |
4033 TALBOT RD S SUITE 270 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312769 | Frank P Rudey | Dentist | 4033 Talbot Rd S, Renton, WA 98055-5700 | 2005-08-03 |
| 1699173856 | Olivia Nicole Corrado | Advanced Practice Midwife | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2014-12-19 |
| 1457758054 | Hanna M Filitovich | Physician Assistant | 4033 Talbot Rd S, Suite 500, Renton, WA 98055-5772 | 2014-11-25 |
| 1962832519 | Darcy Anne King | Advanced Practice Midwife | 4033 Talbot Rd S, Suite 450, Renton, WA 98055-5772 | 2013-11-18 |
| 1033546718 | Aliscia Rose Lindeke | Advanced Practice Midwife | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2013-09-26 |
| 1407190663 | Sarah Leola Benrath | Nurse Practitioner | 4033 Talbot Rd S, Suite 200, Renton, WA 98055-5772 | 2012-11-11 |
| 1629323472 | Lierra Sobolevskiy | Audiologist | 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 | 2012-07-18 |
| 1477843084 | Edward Norman Fisher | Pediatrics | 4033 Talbot Rd S, Medical Arts Center, Suite 200, Renton, WA 98055-5772 | 2011-04-15 |
| 1518270990 | Michael P Galvin | Physician Assistant | 4033 Talbot Rd S, Suite 500, Renton, WA 98055-5772 | 2010-07-14 |
| 1184936429 | Kristen M Oulton | Audiologist | 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 | 2010-07-01 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| 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 |
| 1205903515 | Ankle & Foot Clinic of Rento | Clinic/Center | 275 Sw 41st St, Renton, WA 98057-4930 | 2006-11-29 |
| 1881845907 | North Pacific Dermatology Ps | Clinic/Center | 1412 Sw 43rd St, Ste 205, Renton, WA 98057-4803 | 2008-10-07 |
| 1922259555 | N W Eye Surgeons, P C | Clinic/Center | 1412 Sw 43rd St, Suite 320, Renton, WA 98057-4803 | 2008-10-01 |
| 1316109309 | Proliance Surgeons Inc Ps | Clinic/Center | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2008-06-30 |
| 1225230634 | Valley Eye and Laser Center, Inc.,p.s. | Clinic/Center | 4011 Talbot Rd S, #210, Renton, WA 98055-5773 | 2007-06-05 |
| 1033117270 | Smc Day Surgery | Clinic/Center | 17910 Talbot Rd S, Suite 100, Renton, WA 98055-6237 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 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.