PROLIANCE SURGEONS, INC., P.S. (NPI# 1790325710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790325710 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PROLIANCE IMAGING CENTER AT FIRST HILL |
| Practice Address |
1101 Madison St Ste 580 Seattle WA 98104-4305 |
| Mailing Address |
805 Madison St Ste 901 Seattle WA 98104-1172 |
| Practice Telephone | 2064007625 |
| Practice Fax Number | 2068320586 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MR. KENNETH OVERBEY (COO) |
| Authorized Official Telephone | 2068382583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Proliance Imaging Center at First Hill | 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 |
| 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 |
| 1427356211 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 2720 Commercial Ave, Anacortes, WA 98221-2750 | 2011-03-03 |
| 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 STE 580 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-4305 |
| 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 | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385135 | Brett Hoopes | Radiology | 1122 N 77th St, Seattle, WA 98103-4808 | 2018-02-12 |
| 1346332392 | Mobile Radiology & Imag | Radiology | 861 Poplar Pl S, Seattle, WA 98144-2827 | 2006-09-28 |
| 1467620534 | Mobile Radiology & Imaging, Inc | Radiology | 861 Poplar Pl S, Seattle, WA 98144-2827 | 2008-02-12 |
| 1891700563 | Dawna J Kramer | Radiology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-07-30 |
| 1750304093 | Wendy C Hsu | Radiology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-07-26 |
| 1639108046 | Steven J Adler | Radiology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953113 | Darryn Hiroshi Matsushima | Radiology | 105 167th Pl Sw, Bothell, WA 98012-5967 | 2020-05-14 |
| 1730709924 | Valerie Marie Mann | Radiology | 5811 Saddle Creek Ln, Pasco, WA 99301-8006 | 2020-04-17 |
| 1750569208 | Radiology Consultants of The Lower Valley | Radiology | 10 and Tacoma, Sunnyside, WA 98944-3022 | 2008-02-07 |
| 1851498109 | Kevin J. Case | Radiology | 1135 - 116th Ave Ne #320, Obstetrix, Bellevue, WA 98004 | 2006-09-20 |
| 1376189829 | Molly Marie Pedraza | Radiology | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-11-20 |
| 1215594833 | Natalia Vladinova | Radiology | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2019-05-20 |
| 1255849527 | Judith M Hennech | Radiology | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2018-01-19 |
| 1073035846 | Nirbir Sandhu | Radiology | 114 W Magnolia St Ste 505, Bellingham, WA 98225-4369 | 2017-07-12 |
| 1871861591 | Omni Imaging, LLC | Radiology | 3331 Broadway, Everett, WA 98201-4472 | 2011-12-08 |
| 1407151475 | Kan Di Ki, LLC | Radiology | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2011-01-21 |
| Find all providers with the same taxonomy | ||||
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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.