PROLIANCE SURGEONS, INC., P.S. (NPI# 1184106262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184106262 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PROLIANCE ORTHOPAEDICS AND SPORTS MEDICINE |
| Practice Address |
18100 Ne Union Hill Rd Ste 330 Redmond WA 98052-3330 |
| Mailing Address |
510 8th Ave Ne Ste 320 Issaquah WA 98029-5436 |
| Practice Telephone | 4253923030 |
| Practice Fax Number | 4254979084 |
| Mailing Telephone | 2065070733 |
| Mailing Fax Number | 2062835551 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | MR. KENNETH G. OVERBEY (COO) |
| Authorized Official Telephone | 2068382583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
601484763 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
601484763 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2016746 | 05 | |
| WA | LABOR AND INDUSTRIES | 122274 | 01 |
| Other Name | Type Code |
|---|---|
| PROLIANCE ORTHOPAEDICS AND SPORTS MEDICINE | 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 |
| 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 |
| 1427356211 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 2720 Commercial Ave, Anacortes, WA 98221-2750 | 2011-03-03 |
| 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 |
18100 NE UNION HILL RD STE 330 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| 1750991097 | Virtual Kare | Clinic/Center | 11672 179th Pl Ne, Redmond, WA 98052-2238 | 2020-08-02 |
| 1750672721 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 | 2011-04-26 |
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| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1679991087 | Seattle Infectious Disease Clinic Pllc | Clinic/Center | 1420a 25th Ave, Seattle, WA 98122-3016 | 2014-04-02 |
| 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.