PROLIANCE SURGEONS, INC., P.S. (NPI# 1437105368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437105368 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | SKAGIT NORTHWEST ORTHOPEDICS ASC AT LAVENTURE |
| Practice Address |
1401 S Laventure Rd Mount Vernon WA 98274-6033 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 3604242450 |
| Practice Fax Number | 3604242485 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-12-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
601484763 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Skagit Northwest Orthopedics ASC at LaVenture | 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 |
1401 S LAVENTURE RD |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662472 | Kaarsten Robin Lang | Orthopaedic Surgery | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2005-07-13 |
| 1114419280 | Janelle A Shah | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274 | 2018-06-04 |
| 1700326824 | Shannan Theresa O'brien | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2017-03-08 |
| 1316372394 | Jennifer C Dalziel | Occupational Therapist | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2013-09-09 |
| 1457680233 | Matthew Nathan Ball | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2009-12-08 |
| 1104075621 | Kimberly Kae Miller | Physical Therapist | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2008-09-09 |
| 1053509968 | Dr Paul A Berghuis Inc Ps | Anesthesiology | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-10-05 |
| 1861690257 | Jonathan B. Shafer | Orthopaedic Surgery | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-07-06 |
| 1013112895 | Jane E. Kaptein | Registered Nurse | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-06-20 |
| 1114142577 | Ashli Rhodes Jones | Massage Therapist | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-04-13 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225252257 | Eye Associates Surgery Center Inc | Clinic/Center | 2100 Little Mountain Ln Ste B, Mount Vernon, WA 98274-8752 | 2007-04-12 |
| 1346698602 | Marion Eye Surgery Center LLC | Clinic/Center | 2900 Broadway St, Ste. B, Mount Vernon, IL 62864-2341 | 2016-05-27 |
| 1295156669 | Marion Eye Surgery Center LLC | Clinic/Center | 2900 Broadway St, Suite B, Mount Vernon, IL 62864-2341 | 2014-01-02 |
| 1285980151 | Physicians Surgery Center At Good Samaritan, LLC | Clinic/Center | 2 Good Samaritan Way, Ste 200, Mount Vernon, IL 62864-2476 | 2012-07-30 |
| 1881928976 | N W Eye Surgeons P C | Clinic/Center | 1306 Roosevelt Ave, Mount Vernon, WA 98273 | 2009-09-23 |
| 1033355631 | Maqbool Ahmad | Clinic/Center | 2900 Broadway St, Suite B, Mount Vernon, IL 62864-2341 | 2009-01-02 |
| 1821158544 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2006-12-11 |
| 1457350712 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| 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.