PROLIANCE SURGEONS INC PS (NPI# 1780610220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780610220 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC PS |
| Other Organization Name | HILLSIDE MEDICAL SURGERY CENTER |
| Practice Address |
104 27th Ave Se Puyallup WA 98374-1145 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2537709000 |
| Practice Fax Number | 2537709712 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-11-30 |
| 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 |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7099286 | 05 |
| Other Name | Type Code |
|---|---|
| HILLSIDE MEDICAL SURGERY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727214 | Proliance Surgeons Inc Ps | Clinic/Center | 275 Southwest 160th Street, Suite 200, Burien, WA 98166-3059 | 2007-12-27 |
| 1598110603 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2016-04-26 |
| 1033574371 | Proliance Surgeons Inc Ps | Neurological Surgery | 801 Broadway, Suite 617, Seattle, WA 98122-4396 | 2015-12-30 |
| 1831492537 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-12-19 |
| 1457670648 | Proliance Surgeons Inc Ps | Clinic/Center | 1750 112th Ave Ne, Suite D050, Bellevue, WA 98004-3752 | 2010-05-27 |
| 1316109309 | Proliance Surgeons Inc Ps | Clinic/Center | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2008-06-30 |
| 1144362047 | Proliance Surgeons Inc Ps | Surgery | 14841 179th Ave Se, Suite 220, Monroe, WA 98272-1127 | 2007-02-14 |
| 1326094491 | Proliance Surgeons Inc Ps | Clinic/Center | 515 Minor Ave, Suite 130, Seattle, WA 98104-2120 | 2006-05-26 |
| 1891776233 | Proliance Surgeons Inc Ps | Clinic/Center | 515 Minor Ave, Suite 200, Seattle, WA 98104-2120 | 2005-11-11 |
| Street Address |
104 27TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459283 | Wayne Joseph Harsha | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-03-02 |
| 1407223985 | Proliance Surgeons, Inc., P.s. | Allergy & Immunology | 104 27th Ave Se, Puyallup, WA 98374 | 2015-08-31 |
| 1104149210 | Ear, Nose, Throat & Allergy Assoicaties Ps | Audiologist | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2010-03-03 |
| 1851517528 | Ear,nose,throat &allergy Associates Ps | Audiologist-Hearing Aid Fitter | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-04-18 |
| 1427192988 | Vivian Mae Yu | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-02-17 |
| 1508902081 | Julie Allina Gustafson | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-30 |
| 1154488732 | Ear,nose,throat & Allergy Associates Ps | Specialist | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-02 |
| 1679689145 | Greg E. Davis | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-08-21 |
| 1619907953 | Randall Paul Bennett | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-07-03 |
| 1851327324 | Charles V. Edmond Jr. | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104151562 | Ear Nose Throat & Plastic Surgery Associates of The South Sound Ps | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-10-02 |
| 1316175094 | Entpsa Puyallup Asc | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-07-01 |
| 1982853271 | Western Washington Endoscopy Centers LLC | Clinic/Center | 11216 Sunrise Blvd E, Suite 201, Bldg 3, Puyallup, WA 98374-8848 | 2008-09-11 |
| 1699817346 | Cascade Eye & Skin Centers PC | Clinic/Center | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-02-12 |
| 1215082557 | Auburn Outpatient Surgery Center, LLC | Clinic/Center | 208 17th Ave Se, Suite 202, Puyallup, WA 98372-4515 | 2007-01-25 |
| 1083622112 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1519 3rd St Se, Suite 240, Puyallup, WA 98372-3742 | 2006-08-04 |
| 1972565745 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 210, Puyallup, WA 98374-2106 | 2006-04-05 |
| 1790744175 | Western Washington Endoscopy Centers LLC | Clinic/Center | 1703 S Meridian, Suite 203, Puyallup, WA 98371-7590 | 2006-03-22 |
| 1275510141 | Neospine Puyallup Spine Center, LLC | Clinic/Center | 1519 3rd St Se, Suite 102, Puyallup, WA 98372-3742 | 2005-12-30 |
| 1841286101 | Good Samaritan Surgery Center LLC | Clinic/Center | 1322 3rd St Se, 100, Puyallup, WA 98372-3771 | 2005-09-22 |
| Find all providers in PUYALLUP | ||||
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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.