PROLIANCE SURGEONS, INC., P.S. (NPI# 1740727106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740727106 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | SEATTLE OBSTETRICS & GYNECOLOGY GROUP |
| Practice Address |
1101 Madison St Suite 950 Seattle WA 98104-1306 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2066825800 |
| Practice Fax Number | 2062339657 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| 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 | 207V00000X | Obstetrics & Gynecology | 601484763 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SEATTLE OBSTETRICS & GYNECOLOGY GROUP | 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 |
1101 MADISON ST SUITE 950 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-1306 |
| 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 |
| 1326584673 | Proliance Surgeons, Inc., P.s. | Obstetrics & Gynecology | 1101 Madison St, Suite 1150, Seattle, WA 98104-1306 | 2017-01-10 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| 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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| 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.