PROLIANCE SURGEONS INC PS (NPI# 1598110603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598110603 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC PS |
| Other Organization Name | PROLIANCE HAND WRIST AND ELBOW PHYSICIANS |
| Practice Address |
1810 116th Ave Ne Suite D-4 Bellevue WA 98004-3058 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4252835230 |
| Practice Fax Number | 4252835236 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | MR. DAVID F FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
601484763 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
601484763 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LNI | 0161258 | 01 |
| Other Name | Type Code |
|---|---|
| PROLIANCE HAND WRIST AND ELBOW PHYSICIANS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727214 | Proliance Surgeons Inc Ps | Clinic/Center | 275 Southwest 160th Street, Suite 200, Burien, WA 98166-3059 | 2007-12-27 |
| 1033574371 | Proliance Surgeons Inc Ps | Neurological Surgery | 801 Broadway, Suite 617, Seattle, WA 98122-4396 | 2015-12-30 |
| 1831492537 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-12-19 |
| 1457670648 | Proliance Surgeons Inc Ps | Clinic/Center | 1750 112th Ave Ne, Suite D050, Bellevue, WA 98004-3752 | 2010-05-27 |
| 1316109309 | Proliance Surgeons Inc Ps | Clinic/Center | 17930 Talbot Rd S, Renton, WA 98055-6230 | 2008-06-30 |
| 1144362047 | Proliance Surgeons Inc Ps | Surgery | 14841 179th Ave Se, Suite 220, Monroe, WA 98272-1127 | 2007-02-14 |
| 1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
| 1326094491 | Proliance Surgeons Inc Ps | Clinic/Center | 515 Minor Ave, Suite 130, Seattle, WA 98104-2120 | 2006-05-26 |
| 1891776233 | Proliance Surgeons Inc Ps | Clinic/Center | 515 Minor Ave, Suite 200, Seattle, WA 98104-2120 | 2005-11-11 |
| Street Address |
1810 116TH AVE NE SUITE D-4 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507602 | Elizabeth Herseth | Family Medicine | 1810 116th Ave Ne, Bellevue, WA 98004 | 2005-11-29 |
| 1164801189 | Rikesh T. Parikh Md Pllc | Surgery | 1810 116th Ave Ne, Suite 102, Bellevue, WA 98004-3058 | 2015-05-22 |
| 1831492537 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-12-19 |
| 1124320874 | Diane Kay Demopulos | Nurse Practitioner | 1810 116th Ave Ne, Suite D1, Bellevue, WA 98004-3058 | 2010-12-01 |
| 1245548338 | Kathleen Marie Nielsen | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-09-22 |
| 1033446802 | Belladonna Breast Imaging Center Pllc | Clinic/Center | 1810 116th Ave Ne, Ste 101, Bellevue, WA 98004-3058 | 2009-11-15 |
| 1598092751 | Clive M Liu Md Pllc | Dermatology | 1810 116th Ave Ne, Suite 100, Bellevue, WA 98004-3058 | 2009-11-09 |
| 1750538450 | Rikesh Terence Parikh | Surgery | 1810 116th Ave Ne, Suite 102, Bellevue, WA 98004-3058 | 2008-08-25 |
| 1598945578 | Kristin M. Rosen | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2007-11-07 |
| 1962500181 | Russell B Caldwell Md PC | Dermatology | 1810 116th Ave Ne, Suite 100, Bellevue, WA 98004-3058 | 2006-09-20 |
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| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1790293173 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2018-01-19 |
| 1174036826 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2017-11-15 |
| 1144429069 | Matthew Lawrence Lyons | Orthopaedic Surgery | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2007-07-11 |
| 1508893066 | Proliance Surgeons Inc., P.s. | Orthopaedic Surgery | 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326564790 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1689914541 | Sound Hand and Orthopedics, Pllc | Orthopaedic Surgery | 901 Boren Ave Ste 900, Seattle, WA 98104-3596 | 2013-02-28 |
| 1083831549 | Eugene Chan Farng | Orthopaedic Surgery | 4245 Roosevelt Way Ne # 354740, Seattle, WA 98105-6008 | 2007-04-19 |
| 1104942036 | Steven L Summerfield Md Inc Ps | Orthopaedic Surgery | 4361 Talbot Rd S Ste 102, Renton, WA 98055-6226 | 2007-03-22 |
| 1750450490 | Ghalib A. Husseini | Orthopaedic Surgery | 4446 Eld Ln Nw, Olympia, WA 98502-8806 | 2006-11-07 |
| 1467493890 | Northwest Hand Specialists, Inc., P.s. | Orthopaedic Surgery | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2006-06-09 |
| 1437102274 | Strait Orthopedic Specialists. Ps | Orthopaedic Surgery | 832 Georgiana St, Port Angeles, WA 98362-3512 | 2006-05-19 |
| 1871574624 | John A Miyano | Orthopaedic Surgery | 600 Broadway, Suite 440, Seattle, WA 98122 | 2005-11-09 |
| 1376981282 | Julie Johnson Roberts | Orthopaedic Surgery | 33501 1st Way S, Federal Way, WA 98003 | 2013-06-13 |
| 1639465024 | Benjamin Chia | Orthopaedic Surgery | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2011-06-23 |
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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.