PROLIANCE SURGEONS INC PS NPI 1891776233

NPI Information

NPI: 1891776233
Provider Name: PROLIANCE SURGEONS INC PS

Doing Business As: MINOR AND JAMES ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
515 MINOR AVE
SUITE 200
SEATTLE, WA
ZIP 98104
Phone: (206) 386-9515
Get Directions

PROLIANCE SURGEONS INC PS is an ambulatory surgical clinic center in Seattle, WA. PROLIANCE SURGEONS INC PS NPI is 1891776233. The provider is registered as an organization entity type.
The provider Is Doing Business As Minor And James Endoscopy Center.

The provider's business location address is:

515 MINOR AVE
SUITE 200
SEATTLE, WA
ZIP 98104-120
Phone: (206) 386-9515
Fax: (206) 576-3807

The provider's authorized official is David G Fitzgerald .
The authorized official title is Ceo and has the following contact phone number (206) 838-2599.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 4/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	601484763	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5891740001	OTHER	WASHINGTON	DME
2	MI4993	OTHER	WASHINGTON	REGENCE
3	7027352	MEDICAID	WASHINGTON
4	G000109320	MEDICARE PIN	WASHINGTON
5	163569	OTHER	WASHINGTON	LABOR & INDUSTRIES
6	490001094	OTHER	WASHINGTON	PALMETTO RR MEDICARE

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

NPI Synchronization or Removal

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