PROLIANCE SURGEONS, INC., P.S. (NPI# 1841610169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841610169 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PLASTIC & RECONSTRUCTIVE SURGEONS |
| Practice Address |
17930 Talbot Rd S Renton WA 98055-6230 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4252283187 |
| Practice Fax Number | 4252287972 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| 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 | 208200000X | Plastic Surgery | 601484763 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PLASTIC & RECONSTRUCTIVE SURGEONS | 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 |
17930 TALBOT RD S |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841347572 | David Teter Barker | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1306263322 | Trenton Matthew Morton | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2014-03-27 |
| 1003179300 | Chad Michael Bailey | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055 | 2012-06-21 |
| 1316109309 | Proliance Surgeons Inc Ps | Clinic/Center | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2008-06-30 |
| 1023165768 | Wallace Han Jen Chang | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1861549479 | Patricia Ann Briscoe | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1538216296 | Jonathan James Hutter | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760669972 | Geoffrey J Yule, Md Ps | Plastic Surgery | 4300 Talbot Rd S Ste 105, Renton, WA 98055-6238 | 2008-01-30 |
| 1841347572 | David Teter Barker | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1306263322 | Trenton Matthew Morton | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2014-03-27 |
| 1003179300 | Chad Michael Bailey | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055 | 2012-06-21 |
| 1023165768 | Wallace Han Jen Chang | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1861549479 | Patricia Ann Briscoe | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1538216296 | Jonathan James Hutter | Plastic Surgery | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2007-01-04 |
| 1033274949 | Geoffrey J Yule | Plastic Surgery | 4300 Talbot Rd S, Ste 105, Renton, WA 98055-6238 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146734 | Chesnut Institute of Cosmetic & Reconstructive Surgery | Plastic Surgery | 510 S Cowley St Ste 201, Spokane, WA 99202-1332 | 2020-02-20 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1144725649 | Cmn Industries | Plastic Surgery | 145 Lilly Rd Ne Ste 101, Olympia, WA 98506-5028 | 2018-03-27 |
| 1477071041 | Morgan Warwick Evans | Plastic Surgery | Division of Craniofacial and Plastic Surgery, 4800 Sand Point Way, Ne, Ms Ob.9.520, Seattle, WA 98105-0371 | 2017-09-05 |
| 1083161046 | Robert Knight | Plastic Surgery | 3837 Aurora Ave N, Apt 2, Seattle, WA 98103-2720 | 2016-09-07 |
| 1790134799 | Rmp Logic LLC | Plastic Surgery | 7202 Saint Andrews Ln Se, Snoqualmie, WA 98065-9093 | 2016-06-09 |
| 1275971822 | Eugene Wilbert Goertzen | Plastic Surgery | 1217 Treemont Way Se, Fall City, WA 98024-7425 | 2013-06-05 |
| 1023451317 | Sarah Layne Crandall | Plastic Surgery | 5005 Main St Ste 125, Tacoma, WA 98407-3177 | 2013-04-17 |
| 1184969289 | Robert John Kropp | Plastic Surgery | 760 Overlake Dr E, Medina, WA 98039-4817 | 2012-11-30 |
| 1326390303 | Paul Luu Ps Inc | Plastic Surgery | 5420 Rainier Ave. S, Seattle, WA 98118 | 2012-10-15 |
| 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.