PROLIANCE SURGEONS, INC., P.S. (NPI# 1215368717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215368717 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | CASCADE EAR NOSE AND THROAT |
| Practice Address |
111 S 13th St Mount Vernon WA 98274-4105 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 3603362178 |
| Practice Fax Number | 3603362642 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-11 |
| Authorized Official Name | MR. DAVID G. FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
601484763 | WA | Allopathic & Osteopathic Physicians |
| N | 231H00000X | Audiologist | 601484763 | WA | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 601484763 | WA | Speech, Language and Hearing Service Providers |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
601484763 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CASCADE EAR NOSE AND THROAT | 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 |
111 S 13TH ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326037052 | Daniel Mark Greenwald | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2005-10-15 |
| 1073946794 | Ashley Fedan LLC | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2013-08-16 |
| 1073864997 | Mallorie K Smith | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2012-10-02 |
| 1992937825 | Anna Jane Knisely | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2009-08-11 |
| 1104073170 | Christopher Ray England | Otolaryngology | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-08-21 |
| 1679746721 | Second Generation Anesthesia, Inc | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-04-09 |
| 1073782454 | Barry Simmons | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2008-02-29 |
| 1518141282 | Terry L. Hergesheimer | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-12-18 |
| 1477677052 | Shonie Hannah | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-03-19 |
| 1740304336 | Suzanne E Jennings | Audiologist | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104237064 | Francois Cloutier | Otolaryngology | 550 17th Ave, Suite 540, Swedish Cherry Hill - Center for Hearing and Skull Base, Seattle, WA 98122 | 2014-05-14 |
| 1114108784 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 16259 Sylvester Rd Sw Ste 505, Burien, WA 98166-3059 | 2007-11-23 |
| 1992913917 | Alexander W Sobel | Otolaryngology | 1632 116th Ave Ne Ste A, Bellevue, WA 98004-3035 | 2007-05-21 |
| 1700963782 | E.n.t.-facial Plastic Surgery Associates, Pllc. | Otolaryngology | 3999 Englewood Ave Ste 201, Yakima, WA 98902-6335 | 2006-11-01 |
| 1861506289 | Spokane Valley Ear, Nose &throat,p.s. | Otolaryngology | 1424 N. Mcdonald Rd, Suite 101, Spokane Valley, WA 99216-1088 | 2006-08-19 |
| 1770564783 | Sugical Associates Northwest | Otolaryngology | 125 3rd St Ne, Auburn, WA 98002-4035 | 2005-11-08 |
| 1851753206 | Facialbeauty.com Pllc | Otolaryngology | 12301 Ne 10th Pl Ste 101, Bellevue, WA 98005-2487 | 2016-03-24 |
| 1104185073 | Northwest Ent Associates | Otolaryngology | 1536 N 115th St, Suite 340, Seattle, WA 98133-8400 | 2012-05-11 |
| 1386928216 | Craig A Rone Md Ps | Otolaryngology | 316 Martin Luther King Jr Way, # 305, Tacoma, WA 98405-4252 | 2011-10-11 |
| 1679717748 | Javad Abbas Sajan | Otolaryngology | 1455 Nw Leary Way, Suite 449, Seattle, WA 98107-5124 | 2009-04-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.