PROLIANCE SURGEONS, INC., P.S. (NPI# 1457350712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457350712 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | SKAGIT NORTHWEST ORTHOPEDICS ASC AT CONTINENTAL |
| Practice Address |
1500 Continental Pl Mount Vernon WA 98273-4105 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 3604247041 |
| Practice Fax Number | 3604248449 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2005-07-19 |
| 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 |
601 484 763 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7107410 | 05 |
| Other Name | Type Code |
|---|---|
| SKAGIT NORTHWEST ORTHOPEDICS ASC AT CONTINENTAL | 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 |
1500 CONTINENTAL PL |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480545 | Patrick M Lyons | Orthopaedic Surgery | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2005-07-14 |
| 1679130322 | Guillermo Vales Kennedy | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273 | 2019-05-28 |
| 1235694936 | Kristen Erin Roberts | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2019-02-06 |
| 1528484490 | Caryn Anne Clippert | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2014-03-14 |
| 1629409297 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2013-12-09 |
| 1376988477 | Ryan James Nathe | Orthopaedic Surgery | 1500 Continental Pl, Mount Vernon, WA 98273 | 2013-05-02 |
| 1851666929 | Herbie Yung | Physical Medicine & Rehabilitation | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2012-03-21 |
| 1194024448 | Camille Lauren Connelly | Orthopaedic Surgery | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2011-03-24 |
| 1669426417 | Robert James Rogers | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2006-05-19 |
| 1932109691 | Ivory V Larry | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2005-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| 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 |
| 1437105368 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2006-05-25 |
| 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 | 98273 |
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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.