PROLIANCE SURGEONS, INC., P.S. (NPI# 1891799490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891799490 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PUGET SOUND ORTHOPAEDICS |
| Practice Address |
7308 Bridgeport Way W Ste 201 Lakewood WA 98499-8000 |
| Mailing Address |
7308 Bridgeport Way W Ste 201 Lakewood WA 98499-8000 |
| Practice Telephone | 2535827257 |
| Practice Fax Number | 2535821617 |
| Mailing Telephone | 2535827257 |
| Mailing Fax Number | 2535821617 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. KENNETH G. OVERBEY (COO) |
| Authorized Official Telephone | 2068382583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Puget Sound Imaging MRI | Doing Business As Name - Organization |
| Puget Sound Orthopaedics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1724 W Union Ave Ste 100, Tacoma, WA 984052099 | 2538305200 | 2537521160 |
| 1724 W Union Ave Ste B-100, Tacoma, WA 984052099 | 2538305215 | 2538305219 |
| 2727 Hollycroft St Ste 410, Gig Harbor, WA 983351369 | 2533584002 | 2533584015 |
| 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 |
7308 BRIDGEPORT WAY W STE 201 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921707 | Julian S Arroyo | Orthopaedic Surgery | 7308 Bridgeport Way W, Ste 201, Lakewood, WA 98499-8000 | 2005-06-10 |
| 1629518105 | Emily N Billings | Physical Therapist | 7308 Bridgeport Way W, Suite 103, Lakewood, WA 98499-8000 | 2017-03-02 |
| 1124493440 | Linda Phimmavong | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-12-11 |
| 1376910125 | Krista Elizabeth Guyll | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2015-08-27 |
| 1790151538 | Timothy J. Mann | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-17 |
| 1790161578 | Emma Nicole Mcnutt | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-04 |
| 1346655941 | Rachelle Kay Denman Sherwood | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2014-06-23 |
| 1487065819 | Daniel Marler | Orthotist | 7308 Bridgeport Way W, Ste 204, Lakewood, WA 98499-8000 | 2014-05-20 |
| 1982014437 | Marvin Soriano | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2014-05-06 |
| 1427497668 | Mellissa Anne Selander | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1255775219 | Albert Max D'heurle | Orthopaedic Surgery | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499 | 2013-04-22 |
| 1033391792 | Outreach Professional Services Inc | Orthopaedic Surgery | 14601 Detroit Rd, Suite 640, Lakewood, OH 44107 | 2007-12-04 |
| 1427063197 | Ezzat Wadih Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2006-07-30 |
| 1114921707 | Julian S Arroyo | Orthopaedic Surgery | 7308 Bridgeport Way W, Ste 201, Lakewood, WA 98499-8000 | 2005-06-10 |
| 1669934196 | Oco Care of Co, LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| 1972915627 | John Timothy Heffernan | Orthopaedic Surgery | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499-8000 | 2014-05-29 |
| 1568809226 | Richard Sung Ahn | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2013-06-03 |
| 1982848099 | Andrew Jonathan Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2009-04-21 |
| 1821263807 | Matthew V Jenkins | Orthopaedic Surgery | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2008-04-29 |
| 1700920840 | Stephen Dinenberg | Orthopaedic Surgery | 2020 Wadsworth Blvd, Ste 14b, Lakewood, CO 80214-5728 | 2007-02-19 |
| Find all providers in LAKEWOOD | ||||
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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.