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PROLIANCE SURGEONS INC. P.S. NPI 1740727106


NPI Information

NPI: 1740727106
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: SEATTLE OBSTETRICS & GYNECOLOGY GROUP

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1101 MADISON ST STE 950
SEATTLE, WA
ZIP 98104
Phone: (206) 682-5800
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PROLIANCE SURGEONS, INC., P.S. is an obstetrics gynecology in Seattle, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROLIANCE SURGEONS, INC., P.S. NPI is 1740727106. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Seattle Obstetrics & Gynecology Group.

The provider's business location address is:

1101 MADISON ST STE 950
SEATTLE, WA
ZIP 98104-592
Phone: (206) 682-5800
Fax: (206) 233-9657

The provider's authorized official is Laura Kleisle .
The authorized official title is Chief Risk Officer and has the following contact phone number (206) 838-2590.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 5/28/2021.


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
1207V00000XObstetrics & Gynecology601484763WASHINGTONNo
2207V00000XObstetrics & GynecologyYes
3261QM1300XClinic/CenterMulti-SpecialtyNo
4363LW0102XNurse PractitionerWomen's HealthNo
5363LX0001XNurse PractitionerObstetrics & GynecologyNo

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
12075030MEDICAIDWASHINGTON

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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