PROLIANCE SURGEONS INC PS (NPI# 1891776233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891776233 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC PS |
| Other Organization Name | MINOR AND JAMES ENDOSCOPY CENTER |
| Practice Address |
515 Minor Ave Suite 200 Seattle WA 98104-2120 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2063869515 |
| Practice Fax Number | 2065763807 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2016-04-05 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7027352 | 05 | |
| WA | PALMETTO RR MEDICARE | 490001094 | 01 |
| WA | LABOR & INDUSTRIES | 163569 | 01 |
| WA | DME | 5891740001 | 01 |
| WA | REGENCE | MI4993 | 01 |
| Other Name | Type Code |
|---|---|
| Minor and James Endoscopy 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 |
| 1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
| 1326094491 | Proliance Surgeons Inc Ps | Clinic/Center | 515 Minor Ave, Suite 130, Seattle, WA 98104-2120 | 2006-05-26 |
| Street Address |
515 MINOR AVE SUITE 200 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461507 | William E Berg | Psychiatry & Neurology | 515 Minor Ave, #210, Seattle, WA 98104 | 2005-07-20 |
| 1235629213 | Hailey Mayo | Specialist/Technologist | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-05-15 |
| 1043717903 | Jennifer Weaver | Nurse Practitioner | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-04-08 |
| 1932635133 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 515 Minor Ave, Suite 160, Seattle, WA 98104-2120 | 2017-05-08 |
| 1962942896 | Anne Hubbell | Dietitian, Registered | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2017-02-25 |
| 1023565975 | Laurel Charbonneau | Physical Therapist | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2016-09-08 |
| 1740636018 | Swedish Health Services | Clinical Medical Laboratory | 515 Minor Ave, Suite 100, Seattle, WA 98104-2120 | 2016-05-05 |
| 1891149027 | Swedish Health Services | Radiology | 515 Minor Ave, Suite 110, Seattle, WA 98104-2120 | 2016-04-13 |
| 1346609575 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 515 Minor Ave, Seattle, WA 98104-2120 | 2016-02-16 |
| 1841664430 | Shannon Noel Narasimhan | Physical Therapist | 515 Minor Ave, Ste 22, Seattle, WA 98104-2120 | 2015-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679871222 | Kara Kaiser LLC | Clinic/Center | 9236 26th Ave Nw, Seattle, WA 98117-2815 | 2011-03-07 |
| 1093836652 | Northwest Foot & Ankle Associates, P.s. | Clinic/Center | 1545 Ne 65th St, Seattle, WA 98115-6800 | 2007-04-02 |
| 1437202249 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 400, Seattle, WA 98104-3599 | 2007-01-18 |
| 1811936990 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 900 Terry Ave, 3rd Floor, Seattle, WA 98104-4230 | 2006-06-05 |
| 1386615912 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 501 N 34th St, Suite 101, Seattle, WA 98103-8645 | 2006-01-31 |
| 1871095489 | Evergreen Eye Center, Inc. P.s. | Clinic/Center | 1229 Madison St Ste 1250, Seattle, WA 98104-3568 | 2018-02-28 |
| 1982149761 | The Polyclinic | Clinic/Center | 1229 Madison St, Suite 1090, Seattle, WA 98104-3586 | 2017-01-03 |
| 1013387729 | Group Health Cooperative | Clinic/Center | 201 16th Ave E, Suite Cmb-2, Seattle, WA 98112-5226 | 2015-10-07 |
| 1306217039 | First Hill Surgery Center LLC | Clinic/Center | 1101 Madison St, Suite 200, Seattle, WA 98104-1306 | 2015-10-07 |
| 1609245331 | Salem Surgical Services, LLC | Clinic/Center | 1700 7th Ave, Suite 116, Seattle, WA 98101-1397 | 2015-09-23 |
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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.