Van T Phan (NPI# 1912040049, PAC ID# 5890878193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912040049 |
| PAC ID by PECOS | 5890878193 |
| Professional Enrollment ID | I20080211000060 |
| Full Name | Van T Phan |
| Organization Legal Name | PROLIANCE SURGEONS, INC., P.S. |
| Address |
24060 Se Kent Kangley Rd Maple Valley WA 98038-6801 |
| Phone Number | 4256565060 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8527972900 |
| Number of Group Practice Members | 446 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500088 | VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 | 4256565060 | PROLIANCE SURGEONS, INC., P.S. |
| 24060 Se Kent Kangley Rd, Suite D 100, Maple Valley, WA 98038-6801 | 4252283187 | PROLIANCE SURGEONS, INC., P.S. |
| 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5791 | 2066565060 | PROLIANCE SURGEONS, INC., P.S. |
| Organization Legal Name | PROLIANCE SURGEONS, INC., P.S. |
| Physicians | 432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Max D'heurle | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 2727 Hollycroft St, Suite 410, Gig Harbor, WA 98335-1369 |
| Chad M Bailey | Plastic and Reconstructive Surgery | Proliance Surgeons, Inc., P.s. | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5291 |
| Kristen Erin Roberts | Physician Assistant | Proliance Surgeons, Inc., P.s. | 1017 20th St, Anacortes, WA 98221-2505 |
| Stefany Jeneifer Cameron | Physician Assistant | Proliance Surgeons, Inc., P.s. | 1750 112th Ave Ne, Suite D050, Bellevue, WA 98004-3779 |
| Stephanie Caroline Ouellet | Nurse Practitioner | Proliance Surgeons, Inc., P.s. | 1724 W Union, 100 Pudget Sound Imaging, Tacoma, WA 98405-2099 |
| Kyle Mark | Physical Therapy | Proliance Surgeons, Inc., P.s. | 510 8th Ave Ne, 340 Proliance Sports Therapy and Rehab of Issaquah, Issaquah, WA 98029-5436 |
| Catherina Min | Optometry | Proliance Surgeons, Inc., P.s. | 17130 Avondale Way Ne, Suite 111, Redmond, WA 98052-4455 |
| Mallorie K Olson | Qualified Audiologist | Proliance Surgeons, Inc., P.s. | 111 S 13th St, Cascade Ear Nose and Throat, Mount Vernon, WA 98274-4105 |
| Jonathan C Kopelovich | Otolaryngology | Proliance Surgeons, Inc., P.s. | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3822 |
| Josh M Grant | Physician Assistant | Proliance Surgeons, Inc., P.s. | 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 |
| Street Address |
24060 SE KENT KANGLEY RD |
| City | MAPLE VALLEY |
| State | WA |
| Zip | 98038-6801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josh M Grant | Physician Assistant | Proliance Surgeons, Inc., P.s. | 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 |
| Kelsey R Platt | Nurse Practitioner | Proliance Surgeons, Inc., P.s. | 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 |
| Resa M Bolton | Physical Therapy | Pinnacle Therapy Group | 24060 Se Kent Kangley Rd, Suite D 100, Maple Valley, WA 98038-6801 |
| Naeima Jafarian Naserizad | Registered Dietitian Or Nutrition Professional | Valley Medical Group-renton | 24060 Se Kent Kangley Rd, Suite D100, Maple Valley, WA 98038-6801 |
| Matthew Weston | Physical Therapy | Valley Medical Group-renton | 24060 Se Kent Kangley Rd, Suite D100, Maple Valley, WA 98038-6801 |
| David R Gifford | Physician Assistant | Proliance Surgeons, Inc., P.s. | 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 |
| Kalen D Jolk | Physical Therapy | Valley Medical Group-renton | 24060 Se Kent Kangley Rd, Suite D100, Maple Valley, WA 98038-6801 |
| Kyle R Heise | Physical Therapy | Valley Medical Group-renton | 24060 Se Kent Kangley Rd, Suite D100, Maple Valley, WA 98038-6801 |
| Tomi Johnson | Occupational Therapy | Valley Medical Group-renton | 24060 Se Kent Kangley Rd, Suite D100, Maple Valley, WA 98038-6801 |
| Jamie Yee | Physician Assistant | Proliance Surgeons, Inc., P.s. | 24060 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip J Kriss | Chiropractic | 27203 216th Ave Se, Suite 1, Maple Valley, WA 98038-3273 | |
| Joshua H Kachner | Internal Medicine | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| Jeffrey J Ramos | Physical Therapy | 27203 216th Ave Se, Suite 10, Maple Valley, WA 98038-3274 | |
| Shannon L Markegard | Family Medicine | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| Travis A Dalton | Nurse Practitioner | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| Jessica A Mcabee | Family Medicine | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| Shreeketa M Mehta | Family Medicine | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| David W Sweiger | Family Medicine | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| Kathryn Laurel Anderson | Nurse Practitioner | Traveling Pain Management Doctors Psc | 23745 225th Way Se, Suite 201b, Maple Valley, WA 98038-3350 |
| Amanda Sahar Jenkins | Nurse Practitioner | Traveling Pain Management Doctors Psc | 23745 225th Way Se, Suite 201b, Maple Valley, WA 98038-3350 |
| Find all physicians in zip 98038 | |||
| City | MAPLE VALLEY |
| Zip Code | 98038 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAPLE VALLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Van T Phan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.