Michael J Martin (NPI# 1790726768, PAC ID# 1850398561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1790726768 |
| PAC ID by PECOS | 1850398561 |
| Professional Enrollment ID | I20061023000020 |
| Full Name | Michael J Martin |
| Organization Legal Name | PROLIANCE SURGEONS, INC., P.S. |
| Address |
1724 W Union Ave Suite 100 Tacoma WA 98405-2099 |
| Phone Number | 2538305200 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8527972900 |
| Number of Group Practice Members | 446 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500108 | ST JOSEPH MEDICAL CENTER |
| 500151 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1724 W Union Ave, Suite 100, Tacoma, WA 98405-2099 | 2538305200 | PROLIANCE SURGEONS, INC., P.S. |
| Organization Legal Name | PROLIANCE SURGEONS, INC., P.S. |
| Physicians | 432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Max D'heurle | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 2727 Hollycroft St, Suite 410, Gig Harbor, WA 98335-1369 |
| Chad M Bailey | Plastic and Reconstructive Surgery | Proliance Surgeons, Inc., P.s. | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5291 |
| Kristen Erin Roberts | Physician Assistant | Proliance Surgeons, Inc., P.s. | 1017 20th St, Anacortes, WA 98221-2505 |
| Stefany Jeneifer Cameron | Physician Assistant | Proliance Surgeons, Inc., P.s. | 1750 112th Ave Ne, Suite D050, Bellevue, WA 98004-3779 |
| Stephanie Caroline Ouellet | Nurse Practitioner | Proliance Surgeons, Inc., P.s. | 1724 W Union, 100 Pudget Sound Imaging, Tacoma, WA 98405-2099 |
| Kyle Mark | Physical Therapy | Proliance Surgeons, Inc., P.s. | 510 8th Ave Ne, 340 Proliance Sports Therapy and Rehab of Issaquah, Issaquah, WA 98029-5436 |
| Catherina Min | Optometry | Proliance Surgeons, Inc., P.s. | 17130 Avondale Way Ne, Suite 111, Redmond, WA 98052-4455 |
| Mallorie K Olson | Qualified Audiologist | Proliance Surgeons, Inc., P.s. | 111 S 13th St, Cascade Ear Nose and Throat, Mount Vernon, WA 98274-4105 |
| Jonathan C Kopelovich | Otolaryngology | Proliance Surgeons, Inc., P.s. | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3822 |
| Josh M Grant | Physician Assistant | Proliance Surgeons, Inc., P.s. | 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 |
| Street Address |
1724 W UNION AVE SUITE 100 |
| City | TACOMA |
| State | WA |
| Zip | 98405-2099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean D Ghidella | Hand Surgery | Proliance Surgeons, Inc., P.s. | 1724 W Union Ave, Suite 100, Tacoma, WA 98405-2099 |
| John M Blair | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 1724 W Union Ave, Suite 100, Tacoma, WA 98405-2099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Cunningham | Nurse Practitioner | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Michael W Chandler | Anesthesiology | Tacoma Anesthesia Associates Inc Ps | 3111 S L St, Tacoma, WA 98405 |
| Stephen B Hillis | Family Medicine | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Klaus D Mergener | Gastroenterology | Washington Gastroenterology Pllc | 315 Mlk Jr Way, Tacoma, WA 98405 |
| Gerald W Anderson | General Surgery | 315 Mlk Jr Way, Tacoma, WA 98405 | |
| John Daniel Wanwig | Psychiatry | 4050 S 19th St, Suite 200, Tacoma, WA 98405-0001 | |
| Alice Phuong Nguyen | Optometry | 1965 S Union Ave, Tacoma, WA 98405-1017 | |
| Neil Partain | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Richard M Bradford | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Ugochukwu Uwaoma | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Find all physicians in zip 98405 | |||
| City | TACOMA |
| Zip Code | 98405 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | TACOMA + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.