PROLIANCE SURGEONS, INC., P.S. (NPI# 1205875382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205875382 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | BELLEVUE ORTHOPAEDIC ASSOCIATES |
| Practice Address |
1231 116th Ave Ne Suite 100 Bellevue WA 98004-3804 |
| Mailing Address |
720 Olive Way Suite 1505 Seattle WA 98101-1878 |
| Practice Telephone | 4254545344 |
| Practice Fax Number | 4254620763 |
| Mailing Telephone | 2068382590 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS DAVID G. FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bellevue Orthopaedic Associates | 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 |
1231 116TH AVE NE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996531 | Ann M Kolwitz | Obstetrics & Gynecology | 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 | 2005-07-14 |
| 1114536356 | Laura Ann Menenberg | Registered Nurse | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004 | 2020-07-23 |
| 1891238556 | Christine Park | Marriage & Family Therapist | 1231 116th Ave Ne, Bellevue, WA 98004-3804 | 2016-11-29 |
| 1467810283 | Tyler William Kuhk | Nurse Practitioner | 1231 116th Ave Ne, Suite 400, Bellevue, WA 98004-3804 | 2016-02-08 |
| 1013328400 | The Moore Center, PC | Psychiatric Hospital | 1231 116th Ave Ne, 8th Floor, Bellevue, WA 98004-3804 | 2014-05-19 |
| 1578801718 | Proliance Surgeons, Inc., P.s. | Surgery | 1231 116th Ave Ne, Suite 535, Bellevue, WA 98004-3804 | 2013-01-23 |
| 1437426970 | Alexandra L. Degroot | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-11-29 |
| 1851675284 | Alysse M. Moury | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-10-04 |
| 1386930188 | Amy Melissa Foley | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-06-21 |
| 1003119009 | Jessica Swenson | Nurse Practitioner | 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 | 2010-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1225376684 | William Furrer Jr. | Orthopaedic Surgery | 12603 Ne 36th Pl, Bellevue, WA 98005-1329 | 2013-01-19 |
| 1558525659 | Melvin D Levine | Orthopaedic Surgery | 3315 126th Ave Ne, Bellevue, WA 98005-1363 | 2008-07-17 |
| 1770783607 | Christopher R Boone | Orthopaedic Surgery | 1231 116th Ave Ne Ste 750, Bellevue, WA 98004 | 2007-07-19 |
| 1720102783 | Paul Herbert Reiss | Orthopaedic Surgery | 9820 Ne 20th St, Bellevue, WA 98004-2601 | 2007-03-16 |
| 1306903737 | Charles Nelson Brooks | Orthopaedic Surgery | 18 Cascade Key, Bellevue, WA 98006-1002 | 2007-01-03 |
| 1114003837 | Thomas E Trumble | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2006-10-27 |
| 1336180413 | Mathew A Nicholls | Orthopaedic Surgery | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2006-06-09 |
| 1831137892 | Pierce Edward Scranton Jr. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2006-06-03 |
| 1639696503 | Bellevue Hand Surgery | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2017-08-23 |
| Find all providers in BELLEVUE | ||||
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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.