PROLIANCE SURGEONS, INC., P.S


Address: 801 Broadway Ste 617, Seattle, WA 98122-4319
Phone: 2066230922

PROLIANCE SURGEONS, INC., P.S (NPI# 1063924116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063924116
Entity Type Organization
Organization Name PROLIANCE SURGEONS, INC., P.S
Other Organization Name SEATTLE NEURO & SPINE SURGERY
Practice Address 801 Broadway Ste 617
Seattle
WA 98122-4319
Mailing Address 805 Madison St Ste 901
Seattle
WA 98104-1172
Practice Telephone 2066230922
Practice Fax Number 2066231588
Mailing Telephone 2062648100
Enumeration Date 2017-10-30
Last Update Date 2020-01-23
Authorized Official Name MR. KENNETH OVERBEY (COO)
Authorized Official Telephone 2068382583
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
Allopathic & Osteopathic Physicians
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Y 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA OWCP 629157500 01
WA WA LABOR & INDUSTRIES 383896 01
WA 2094729 05

Other Provider/Organization Names

Other Name Type Code
Seattle Neuro & Spine Surgery Doing Business As Name - Organization
Seattle Neurosurgery Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1607 Cooper Point Rd Nw, Olympia, WA 985028325 2066230922 2066231588
751 Ne Blakely Dr Ste 4020, Issaquah, WA 980296201 2066230922 2066231588
20700 Bond Rd Ne Ste 105, Poulsbo, WA 983709099 2066230922 2066231588

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326564790 Proliance Surgeons, Inc., P.s Orthopaedic Surgery 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 2017-08-17
1659871622 Proliance Surgeons, Inc., P.s Podiatrist 7320 216th St Sw Ste 320b, Edmonds, WA 98026-8006 2018-02-16
1649445420 Proliance Surgeons, Inc., P.s Otolaryngology 9730 3rd Ave Ne, Suite 201, Seattle, WA 98115-2023 2008-04-23

Other Data Sources

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

Office Location

Street Address 801 BROADWAY STE 617
City SEATTLE
State WA
Zip Code 98122-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598733172 Glen M. Rogers Physician Assistant 801 Broadway Ste 617, Seattle, WA 98122-4319 2006-03-09
1124628359 Lydia Katherine Mcclaran Physician Assistant 801 Broadway Ste 617, Seattle, WA 98122-4319 2020-10-27
1679663488 Todd P Kreps Physician Assistant 801 Broadway Ste 617, Seattle, WA 98122-4319 2006-10-13
1023087780 Jeffrey L Garr Orthopaedic Surgery 801 Broadway Ste 617, Seattle, WA 98122-4319 2006-03-15
1407825292 Alexis Falicov Orthopaedic Surgery 801 Broadway Ste 617, Seattle, WA 98122-4319 2006-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938506 Quality Counseling and Consultation Service LLC Counselor 1525 Harvard Ave #509, Seattle, WA 98122 2020-07-01
1912535626 Cesar Andrade Student in an Organized Health Care Education/Training Program 550 16th Avenue #400, Seattle, WA 98122 2020-03-29
1366089666 Peter Nguyen Pharmacy Technician 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 2019-12-05
1356903140 Jason Dandino Specialist/Technologist 550 14th Avenue, Seattle, WA 98122 2019-07-02
1962066415 Seattle Colleges Local Education Agency (LEA) Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 2019-04-30
1538621412 Mitchell R Ornelas Student in an Organized Health Care Education/Training Program Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 2019-04-01
1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1639646821 Maritza E Cajiao Doula 747 Broadway, Seattle, Seattle, WA 98122 2018-10-25
1336616762 Suzanna M Lovin Social Worker 401 Broadway, 1st Floor, Seattle, WA 98122 2018-10-24
1184137770 Walter Franklin Krengel Jr. Orthopaedic Surgery 2000 1st Ave Suite 2201, Seattle, WA 98122 2017-11-06
Find all providers in zip 98122

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891243820 Kiana Uylukcu Neurological Surgery Medex Northwest, 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105-3007 2016-09-19
1659618510 Antonio A Moure Neurological Surgery 1521 2nd Ave, Apartment 1400, Seattle, WA 98101-4500 2013-01-12
1699033894 Calvin Curtis Whaley Neurological Surgery 550 17th Ave Ste 110, Seattle, WA 98122-5789 2012-04-25
1285822197 Amir Kershenovich Rabinovitz Neurological Surgery 401 Broadway E # 2075, Seattle, WA 98102-5021 2007-10-05
1972710044 Rod J Oskouian Jr. Neurological Surgery Seattle Neuroscience Specialists, 550 1th Ave 5th Floor, Seattle, WA 98122-5788 2007-05-17
1659594083 William R. Miele Neurological Surgery 125 16th Ave E Fl 3, Seattle, WA 98112-5211 2007-04-11
1285756304 Jean-christophe Andre Leveque Neurological Surgery 1100 Ninth Ave, Dept of Neurosugery X7-ns, Seattle, WA 98101 2007-04-06
1013074558 Trent Lane Tredway Neurological Surgery 737 Olive Way Apt 2502, Seattle, WA 98101-3751 2007-01-03
1710046511 Marc R Mayberg Neurological Surgery 1959 Ne Pacific St Box 356165, Seattle, WA 98195-5788 2006-12-07
1164581054 David W Newell Neurological Surgery 550 17th Ave Ste 240, Seattle, WA 98122-5877 2006-12-06
Find all providers in SEATTLE

Competitor

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City SEATTLE
Zip Code 98122

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Dataset Information

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.

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