PROLIANCE SURGEONS, INC., P.S.


Address: 1101 Madison St, Suite 1150, Seattle, WA 98104-1306
Phone: 2063863400

PROLIANCE SURGEONS, INC., P.S. (NPI# 1326584673) 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) 1326584673
Entity Type Organization
Organization Name PROLIANCE SURGEONS, INC., P.S.
Other Organization Name NORTHWEST WOMEN'S HEALTHCARE
Practice Address 1101 Madison St
Suite 1150
Seattle
WA 98104-1306
Mailing Address 805 Madison St
Suite 901
Seattle
WA 98104-1172
Practice Telephone 2063863400
Practice Fax Number 2063863411
Mailing Telephone 2062648100
Enumeration Date 2017-01-10
Last Update Date 2017-01-10
Authorized Official Name MR. DAVID G. FITZGERALD (CEO)
Authorized Official Telephone 2068382599
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 601484763 WA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
NORTHWEST WOMEN'S HEALTHCARE Doing Business As Name - Organization

Other Provider IDs and Locations

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

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 1101 MADISON ST
SUITE 1150
City SEATTLE
State WA
Zip Code 98104-1306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324812 Gregory A. Grant Podiatrist 1101 Madison St, Suite 301, Seattle, WA 98104-1306 2005-05-24
1699309260 Kristin D Covey Registered Nurse 1101 Madison St, Ste 700, Seattle, WA 98104-3599 2020-02-23
1083151914 Alaska Plastic Surgery LLC Plastic Surgery 1101 Madison St, Suite 1270, Seattle, WA 98104-1306 2017-01-30
1740727106 Proliance Surgeons, Inc., P.s. Obstetrics & Gynecology 1101 Madison St, Suite 950, Seattle, WA 98104-1306 2017-01-24
1790231116 Alexandra Brook Fleming Social Worker 1101 Madison St, Suite 500, Seattle, WA 98104-1306 2016-08-26
1558815142 Chelsea Reed Nurse Practitioner 1101 Madison St, Suite 1050, Seattle, WA 98104-1306 2016-08-11
1730633637 Jake Weissman Dds Msd Pllc Dentist 1101 Madison St, Suite 1290, Seattle, WA 98104-1306 2016-08-09
1053764423 Susan M Vetto Nurse Practitioner 1101 Madison St, Suite 850, Seattle, WA 98104-1306 2016-07-20
1790145530 Laura Bartlett Nurse Practitioner 1101 Madison St, Ste 700, Seattle, WA 98104-1306 2016-03-04
1417321936 Cecilia Lynn Nurse Practitioner 1101 Madison St, First Hill Campus, Suite 510, Seattle, WA 98104-1306 2015-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275982720 Ralph Nicholas Burns Obstetrics & Gynecology 1959 Ne Pacific St Box 356460, Seattle, WA 98195-3233 2016-06-06
1538554357 Hayley Jane Mackinnon Obstetrics & Gynecology 1959 Ne Pacific St. Box 356460, University of Washington Department of Obgyn, Seattle, WA 98109 2015-03-30
1033523675 Tariro Mupombwa Obstetrics & Gynecology Virginia Mason Medical Center, 1100 9th Avenue, X8-gyn, Seattle, WA 98104 2014-06-11
1386989804 Laura Marie Macpherson Obstetrics & Gynecology 5243 S Pearl St, Seattle, WA 98118-2147 2012-12-10
1073801379 Joelle E. Thomas Obstetrics & Gynecology 1101 Madison St Ste 901, Seattle, WA 98104-1306 2011-07-20
1497047807 Elizabeth Kay Harrington Obstetrics & Gynecology 4245 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6008 2011-05-04
1629388921 Ballard Obgyn, P.C. Obstetrics & Gynecology 1801 Nw Market Street Suite 100, Seattle, WA 98107 2010-10-20
1134438849 Tzu S Chiang Obstetrics & Gynecology 4735 E. Marginal Way South, Seattle, WA 98134 2010-09-29
1245494830 Sara A Durkee Obstetrics & Gynecology Dept of Ob Gyn Hsc Bb661, 1959 Ne Pacific Street, Seattle, WA 98195-0001 2008-07-14
1720288376 Nicole Smith Saint Clair Obstetrics & Gynecology 161 30th Ave, Seattle, WA 98122-6205 2007-07-23
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City SEATTLE
Zip Code 98104

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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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