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PROLIANCE SURGEONS INC. P.S. NPI 1578801718


NPI Information

NPI: 1578801718
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE EASTSIDE SURGICAL SPECIALISTS

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1231 116TH AVE NE STE 930
BELLEVUE, WA
ZIP 98004
Phone: (425) 668-1916
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PROLIANCE SURGEONS, INC., P.S. is a surgery in Bellevue, WA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PROLIANCE SURGEONS, INC., P.S. NPI is 1578801718. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Eastside Surgical Specialists.

The provider's business location address is:

1231 116TH AVE NE STE 930
BELLEVUE, WA
ZIP 98004-804
Phone: (425) 668-1916
Fax: (425) 688-1901

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Del Cred & Enrollment Manager and has the following contact phone number (206) 838-2585.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 8/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2207Y00000XOtolaryngologyNo
3208C00000XColon & Rectal SurgeryNo
4208600000XSurgery601484763WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12024876MEDICAIDWASHINGTON
2307116OTHERWASHINGTONWA LNI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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