PROLIANCE SURGEONS, INC., P.S. (NPI# 1194727883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194727883 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | LAKEWOOD SURGERY CENTER |
| Practice Address |
7308 Bridgeport Way W Suite 102 Lakewood WA 98499-8000 |
| Mailing Address |
805 Madison St. Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2535845252 |
| Practice Fax Number | 2535821617 |
| Mailing Telephone | 2062648100 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | MR. DAVID G. FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROLIANCE SURGEONS, INC. P.S. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
601484763 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakewood Surgery Center | 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 |
7308 BRIDGEPORT WAY W SUITE 102 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921707 | Julian S Arroyo | Orthopaedic Surgery | 7308 Bridgeport Way W, Ste 201, Lakewood, WA 98499-8000 | 2005-06-10 |
| 1629518105 | Emily N Billings | Physical Therapist | 7308 Bridgeport Way W, Suite 103, Lakewood, WA 98499-8000 | 2017-03-02 |
| 1124493440 | Linda Phimmavong | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-12-11 |
| 1376910125 | Krista Elizabeth Guyll | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2015-08-27 |
| 1790151538 | Timothy J. Mann | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-17 |
| 1790161578 | Emma Nicole Mcnutt | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-04 |
| 1346655941 | Rachelle Kay Denman Sherwood | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2014-06-23 |
| 1487065819 | Daniel Marler | Orthotist | 7308 Bridgeport Way W, Ste 204, Lakewood, WA 98499-8000 | 2014-05-20 |
| 1982014437 | Marvin Soriano | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2014-05-06 |
| 1427497668 | Mellissa Anne Selander | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194264556 | Lakewood Functional Restoration Asc, LLC | Clinic/Center | 5750 Downey Ave Ste 302, Lakewood, CA 90712-1476 | 2017-02-17 |
| 1447799044 | Greenwood Asc, LLC | Clinic/Center | 355 Union Blvd Ste 10, Lakewood, CO 80228-1500 | 2017-02-15 |
| 1396130811 | D1 Surgical Assisting | Clinic/Center | 12722 W Louisiana Ave, Lakewood, CO 80228-3517 | 2015-04-01 |
| 1053566513 | Northeast Surgicare, LLC | Clinic/Center | 475 Route 70 Ste 203, Lakewood, NJ 08701-5897 | 2008-11-25 |
| 1467415950 | Outpatient Surgery Center of Lakewood Lp | Clinic/Center | 2201 Wadsworth Blvd, Lakewood, CO 80214-5708 | 2006-04-07 |
| 1780673327 | Lakewood Surgery Center, LLC | Clinic/Center | 1215 Route 70, Suite 2000, Lakewood, NJ 08701-5947 | 2005-10-17 |
| 1366449571 | Shore Outpatient Surgicenter LLC | Clinic/Center | 360 Route 70, Lakewood, NJ 08701-5823 | 2005-07-01 |
| 1922611714 | Colorado Urologic Surgery Center, LLC | Clinic/Center | 255 S Routt St, Lakewood, CO 80228-2271 | 2020-08-31 |
| 1629320742 | Denver West Endoscopy Center, LLC | Clinic/Center | 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 | 2012-10-12 |
| 1154622579 | Shore Surgical Pavilion, LLC | Clinic/Center | 475 Route 70, Suite 202, Lakewood, NJ 08701-5897 | 2010-11-17 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on PROLIANCE SURGEONS, INC., P.S..
| 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.