PROLIANCE SURGEONS, INC., P.S. (NPI# 1780807081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780807081 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | THE EYE SURGEONS GROUP AMBULATORY SURGERY CENTER |
| Practice Address |
502 S M St Tacoma WA 98405-3728 |
| Mailing Address |
805 Madison St Ste 901 Seattle WA 98104-1172 |
| Practice Telephone | 2533014953 |
| Practice Fax Number | 2533014845 |
| Mailing Telephone | (206) 264-8100 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-09-13 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE L & I | 0375352 | 01 |
| WA | 7037880 | 05 |
| Other Name | Type Code |
|---|---|
| The Eye Surgeons Group Ambulatory Surgery Center | 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 |
502 S M ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874908 | Connie E Jensen | Nurse Anesthetist, Certified Registered | 502 S M St, Suite 200, Tacoma, WA 98405-3728 | 2006-05-04 |
| 1104465012 | Evergreen Eye Center Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2019-12-26 |
| 1407401920 | Evergreen Eye Center Inc., P.s. | Optometrist | 502 S M St, Tacoma, WA 98405-3728 | 2019-08-02 |
| 1952835035 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2017-04-17 |
| 1144659764 | Tacoma Eye Surgeons Ps | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2013-11-04 |
| 1831443381 | Brown Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 502 S M St, Tacoma, WA 98405-3728 | 2012-11-06 |
| 1013279298 | Alexander L. Grigalunas | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2012-06-13 |
| 1174746481 | Douglas A Macleod | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2007-04-11 |
| 1386729242 | Christine Marie Hintz | Optometrist | 502 S M St, Tacoma, WA 98405-3728 | 2006-10-26 |
| 1124050117 | Andrew B Kopstein | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891722609 | Eye Mds of Puget Sound Pllc | Clinic/Center | 4717 S 19th St, Ste 10, Tacoma, WA 98405-1167 | 2006-06-27 |
| 1992765986 | Western Washington Endoscopy Centers LLC | Clinic/Center | 3209 South 23rd St, 2nd Floor, Tacoma, WA 98405 | 2006-03-24 |
| 1295700086 | Western Washington Endoscopy Centers, LLC | Clinic/Center | 3209 S. 23rd Street, Ste 200, Tacoma, WA 98405 | 2006-02-23 |
| 1104465012 | Evergreen Eye Center Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2019-12-26 |
| 1750663084 | Pnw Eye Pllc | Clinic/Center | 3602 S 19th St, Tacoma, WA 98405-1919 | 2011-09-13 |
| 1821379538 | The Aesthetic Surgery Centre, Pllc | Clinic/Center | 2202 S Cedar St, Suite 150, Tacoma, WA 98405-2318 | 2011-09-08 |
| 1407011570 | Artistic Plastic Surgery Center Pllc | Clinic/Center | 3515 S 15th St, Suite 101, Tacoma, WA 98405-1952 | 2008-07-28 |
| 1336265263 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-03-22 |
| 1194774265 | Cedar Medical Specialties, Pllc | Clinic/Center | 2202 S Cedar St, Ste 150, Tacoma, WA 98405-2318 | 2006-05-08 |
| 1144297003 | Tacoma Endoscopy Center | Clinic/Center | 1112 6th Ave, 200, Tacoma, WA 98405-4040 | 2006-02-28 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on PROLIANCE SURGEONS, INC., P.S..
| 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.